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ICD-10 Coding for Port Placement(02HV33Z, 0JH60WZ)

Complete ICD-10-CM coding and documentation guide for Port Placement. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

TIVAD PlacementPort-a-Cath InsertionMedi-Port Placement

Related ICD-10 Code Ranges

Complete code families applicable to Port Placement

02HV33Z-0JH60WZPrimary Range

ICD-10-PCS codes for insertion of infusion device and totally implantable vascular access device

These codes are used for documenting the insertion of a tunneled catheter and a totally implantable port.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
02HV33ZInsertion of infusion device into superior vena cava, percutaneous approachUse when a tunneled catheter is inserted into the superior vena cava.
  • Documentation of catheter advancement to central vein
  • Use of fluoroscopy or ultrasound for placement
0JH60WZInsertion of totally implantable vascular access device into chest subcutaneous tissue, open approachUse when a totally implantable port is placed in the chest.
  • Creation of a subcutaneous pocket
  • Port secured to fascia

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for port placement

Essential facts and insights about Port Placement

The ICD-10 codes for port placement are 02HV33Z for the catheter and 0JH60WZ for the port.

Primary ICD-10-CM Codes for port placement

Insertion of infusion device into superior vena cava, percutaneous approach
Non-billable Code

Decision Criteria

clinical Criteria

  • Catheter tip must be at the cavoatrial junction.

Applicable To

  • Tunneled catheter insertion

Excludes

  • Non-tunneled catheter insertion

Clinical Validation Requirements

  • Documentation of catheter advancement to central vein
  • Use of fluoroscopy or ultrasound for placement

Code-Specific Risks

  • Incorrect documentation of catheter tip location

Coding Notes

  • Ensure documentation specifies the percutaneous approach and catheter tip location.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Insertion of infusion device into superior vena cava, open approach

02HV33X
Use when the approach is open rather than percutaneous.

Insertion of non-implantable vascular access device into chest subcutaneous tissue, open approach

0JH60XZ
Use for non-implantable devices.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Port Placement to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 02HV33Z.

Impact

Clinical: Potential for incorrect treatment assumptions., Regulatory: Non-compliance with documentation standards., Financial: Risk of denied claims or reduced reimbursement.

Mitigation Strategy

Use detailed templates, Educate staff on documentation standards

Impact

Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on procedure types.

Mitigation Strategy

Always use two codes: one for the catheter and one for the port.

Impact

Incorrect documentation of the approach used for port placement.

Mitigation Strategy

Educate providers on the importance of specifying the approach.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Port Placement, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Port Placement

Use these documentation templates to ensure complete and accurate documentation for Port Placement. These templates include all required elements for proper coding and billing.

Chemotherapy Port Placement

Specialty: Oncology

Required Elements

  • Pre-op diagnosis
  • Procedure steps
  • Device specifics
  • Imaging guidance

Example Documentation

Under fluoroscopy, percutaneous access obtained via right subclavian vein. 7Fr catheter advanced to SVC/RA junction. Separate 4cm infraclavicular incision created. Pocket dissected to pectoralis major fascia. Port connected to catheter and secured with non-absorbable sutures.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Port placed without complications.
Good Documentation Example
5cm incision made at chest wall. Blunt dissection created subcutaneous pocket. Port secured to pectoral fascia with 3-0 prolene.
Explanation
The good example provides detailed procedural steps and device fixation, ensuring complete documentation.

Need help with ICD-10 coding for Port Placement? Ask your questions below.

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