Cateter de dialise peritoneal

"Dte com irc que vem para colocar cateter para dialise peritoneal
Fez incisão abdominal
A colocação eé um by pass ?
0W1G0J4  está bem ? Acho que se enquadra no bypass mas não tenho a certeza"


(Responde Fernando Lopes)
 
Não é um bypass porque o "conteúdo peritoneal" não existe (é virtual) para que possa ser reencaminhado para outro local.
 
Também não é uma drenagem. Seria se fosse para drenar uma ascite.
 
É uma inserção de um dispositivo para realizar uma determinada função (diálise):
Insertion:
Definition: Putting in a nonbiological appliance that monitors, assists, performs,
or prevents a physiological function but does not physically take the place of a
body part
Includes/Examples: Insertion of radioactive implant, insertion of central venous
catheter
 
O dispositivo é de infusão: um líquido (dialítico) que é 'perfundido' na cavidade peritoneal para 'absorver' por 'osmose' o e retirar que deve ser eliminado do sangue...
 
O Coding Clinic confirma:
 
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Correction: Insertion of Infusion Device into Peritoneal Cavity
 
Coding Clinic, Second Quarter 2015 Page: 36 Coding advice or code assignments contained in this issue effective with discharges July 6, 2015.
 
Question:
Coding Clinic for ICD-10-CM/PCS, Fourth Quarter 2013, pages 126-127, provided advice about the creation of a percutaneous cutaneoperitoneal fistula. This advice is problematic. The root operation "Bypass" does not seem appropriate. The root operation "Insertion" appears to be a better choice. However there is no device value for peritoneal catheter in the ICD-10-PCS table under Insertion. How should the placement of a peritoneal dialysis catheter (fistula) be coded? 
 
Answer:
In the original question, the requester asked about creation of a cutaneoperitoneal fistula, which led to the root operation "Bypass." However, upon further review by the Coding Clinic for ICD-10-CM/PCS Editorial Advisory Board (EAB), the EAB determined that a procedure to place a peritoneal dialysis device is more appropriately classified as an insertion of infusion device. Assign the following ICD-10-PCS procedure code for placement of a peritoneal dialysis device:
 
0WHG33Z Insertion of infusion device into peritoneal cavity, percutaneous approach 
 
Copyright 1984-2015, American Hospital Association ("AHA"), Chicago, Illinois.  Reproduced with permission. No portion of this publication may be copied without the express, written consent of AHA.
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Fernando Lopes