Temp Hemodialysis catheter help

Robbin109

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1. Placement of 13cm temporary hemodialysis catheter for acute kidney injury

Under US guidance, the right internal jugular vein was cannulated followed by a wire. A small incision was made. The tract was dilated and 13cm catheter was placed.
Both ports aspirated and flushed easily and were capped. The catheter was sutured in place and dressed.

I want to code 36556 but the ports are throwing me.

Also, do you code Z99.2 with acute kidney dx?

Thanks!!
 

Jim Pawloski

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You are correct with the 36556. The catheter was two external "ports" to hook up to the dialysis machine, so don't worry about that. Do not code for u/s vascular access as there is no documentation of an imaged saved. For the ICD code, that is probably a "history code". You want a code for the N section of the ICD-10.
 
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