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port of cath removal dx ?

  1. #1
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    Default port of cath removal dx ?
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    Patient had a porth cath removal -cpt code 36590. Diagnosis code said lymphoma with status post finished chemotherapeutic intervention. so DO i code as 202.80 with a v code , possible v66.2 or 67.2 orjust leave it as 202.80 ,not sure, any suggestions ? thanks

  2. #2
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    I wouldn't use the V codes you selected as they seem to be for a treatment of some sort because of the chemotherapy. The removal of the port-o-cath is usually done because the patient is finished receiving chemotherapy - in which case I would not code the lymphoma, unless it specifies the patient is still under treatment for this. Unless the port-o-cath is being removed because it is infected (then I would use a dx for the complication too) I usually code this with just V58.81 - fitting and adjustment of vascular catheter, removal or replacement.

    Hope this helps.
    Jodi Dibble, CPC

  3. Default
    Hi,

    Look at V53.X (Fitting and adjustment of device)series for port of cath removal dx...

    Hope it helps...

    Regards,
    Nalini CPC

  4. Default ICD:Portacath removal-V58.81
    Quote Originally Posted by trent123 View Post
    Patient had a portacath removal -cpt code 36590. Diagnosis code said lymphoma with status post finished chemotherapeutic intervention. so DO i code as 202.80 with a v code , possible v66.2 or 67.2 orjust leave it as 202.80 ,not sure, any suggestions ? thanks

    My inputs

    The "indication/px done" is portacath removal on the pt "with" lymphoma,s/p chemo.
    My choice of code sequence is:

    Pls look up
    Admission (encounter) / for / fitting (of) portacath-V58.81
    ICD rubric "includes" removal" or replacement of catheter.
    Aftercare/removal of vascular device -V58.81 {CVAD(36575-36590)}

    PDX is V58.81+
    SDX-lymphoma
    +
    code reflecting "s/p chemo" ;Agree with your choice V67.2
    (as V67.2 is closer than v58.69 current or h/o v87.41)


    Thanks
    Last edited by msrd_081002; 01-02-2011 at 10:45 PM.

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