Wiki icd10 code needed

[philwjp]

I cannot find an ICD10 code for Poor Venous Access. This is not a complication or management of central line. Pt needs central line because of poor venous access. Any suggestions?

 

[ellzeycoding]

In ICD-9 it was 459.89... conversion shows I99.8, but these are all ischemia codes.

 

[nomerz]

I would probably use I99.8, other disorder of circulatory system

 

[Pbhatt1]

I87

Did you tried to look for I87.1 or I 87.8?
Confirm diagnoses can be only chosen if it is documented... what does the note says? Per your question there is narrowing of the vein ( it could be any of these condition-stricture, thrombosis, insufficiency)for which central line placement was performed. Most often you can also check signs and symptoms with your note and inquire with your provider for any missing DX.

 

[thomas7331]

I wouldn't not consider 'poor venous access' the right diagnosis for this situation - I would use the diagnosis of the disease for which the patient is being treated. The central line is not being placed to treat the patient's venous access - I would assume the line is being placed to administer a medication for whatever disease the patient is being treated for in the facility and that should be the primary diagnosis for the encounter.