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Resolved Infusa-a-port coding

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Hello,

Is an Infuse-A-Port for breast cancer considered an artificial opening? Should I use a status like Z93.8 Other artificial opening status? I don't know if this type of opening belongs in the same classification as things like:
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Z93.0
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Tracheostomy status
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Z93.1
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Gastrostomy status
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Z93.2
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Ileostomy status
Thoughts?
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Ports can be removed when treatment is done, or they can be left in place for months or years.

They are not considered an artificial opening because they are not considered to be a permanent opening as once it is removed the opening is no longer available like a -stomy is.

stomy- surgical operation establishing a usually permanent opening into (such) a part

When you index artificial opening in the index it lists what is considered artificial openings there as well.

Unlike an IV catheter, which must be reinserted for each treatment session, a port can remain in place as long as necessary – for several weeks, months or even years. When it is no longer needed, the port can be removed through a relatively simple outpatient procedure.


Central Lines- (CVC)- Central Venous Catheter or central lines are inserted into large veins, typically the jugular, subclavian, or femoral vein. Common uses are for medication and fluid administration.

Peripheral Lines- (PICC) a peripheral catheter inserted into a vein for prolonged intravenous access to administer medications over a long period of time. When inserted the tip of the catheter resides in the superior vena cava or cavoatrial junction. Common uses for PICC lines are chemotherapy, extended antibiotic regimens, total parenteral nutrition (TPN), and blood samples for laboratory tests.

Arterial Line- (also known as: a-line or art-line) a thin catheter inserted into an artery; most commonly radial, ulnar, brachial, or dorsalis pedis artery. Most frequent care settings are intensive care unit or anesthesia when frequent blood draws or blood pressure monitoring are needed. Arterial lines are generally not used for administration of medications or fluids.

These are considered artificial openings:

Z43 Encounter for attention to artificial openings-
Z43.0 Encounter for attention to tracheostomy
Z43.1 Encounter for attention to gastrostomy
Z43.2 Encounter for attention to ileostomy
Z43.3 Encounter for attention to colostomy
Z43.4 Encounter for attention to other artificial openings of digestive tract
Z43.5 Encounter for attention to cystostomy
Z43.6 Encounter for attention to other artificial openings of urinary tract
Z43.7 Encounter for attention to artificial vagina
Z43.8 Encounter for attention to other artificial openings
Z43.9 Encounter for attention to unspecified artificial opening

Code Includes Notes:
Closure of artificial openings
Passage of sounds or bougies through artificial openings
Reforming artificial openings
Removal of catheter from artificial openings
Toilet or cleansing of artificial openings
Code Type-1 Excludes:
Artificial opening status only, without need for care - instead, use code Z93.-
Complications of external stoma (J95.0-, K94.-, N99.5-) - instead, use code J95.0-
Code Type-2 Excludes:
Fitting and adjustment of prosthetic and other devices - instead, use Section Z44-Z46


 
Ports can be removed when treatment is done, or they can be left in place for months or years.

They are not considered an artificial opening because they are not considered to be a permanent opening as once it is removed the opening is no longer available like a -stomy is.

stomy- surgical operation establishing a usually permanent opening into (such) a part

When you index artificial opening in the index it lists what is considered artificial openings there as well.

Unlike an IV catheter, which must be reinserted for each treatment session, a port can remain in place as long as necessary – for several weeks, months or even years. When it is no longer needed, the port can be removed through a relatively simple outpatient procedure.


Central Lines- (CVC)- Central Venous Catheter or central lines are inserted into large veins, typically the jugular, subclavian, or femoral vein. Common uses are for medication and fluid administration.

Peripheral Lines- (PICC) a peripheral catheter inserted into a vein for prolonged intravenous access to administer medications over a long period of time. When inserted the tip of the catheter resides in the superior vena cava or cavoatrial junction. Common uses for PICC lines are chemotherapy, extended antibiotic regimens, total parenteral nutrition (TPN), and blood samples for laboratory tests.

Arterial Line- (also known as: a-line or art-line) a thin catheter inserted into an artery; most commonly radial, ulnar, brachial, or dorsalis pedis artery. Most frequent care settings are intensive care unit or anesthesia when frequent blood draws or blood pressure monitoring are needed. Arterial lines are generally not used for administration of medications or fluids.

These are considered artificial openings:

Z43 Encounter for attention to artificial openings-
Z43.0 Encounter for attention to tracheostomy
Z43.1 Encounter for attention to gastrostomy
Z43.2 Encounter for attention to ileostomy
Z43.3 Encounter for attention to colostomy
Z43.4 Encounter for attention to other artificial openings of digestive tract
Z43.5 Encounter for attention to cystostomy
Z43.6 Encounter for attention to other artificial openings of urinary tract
Z43.7 Encounter for attention to artificial vagina
Z43.8 Encounter for attention to other artificial openings
Z43.9 Encounter for attention to unspecified artificial opening

Code Includes Notes:
Closure of artificial openings
Passage of sounds or bougies through artificial openings
Reforming artificial openings
Removal of catheter from artificial openings
Toilet or cleansing of artificial openings
Code Type-1 Excludes:
Artificial opening status only, without need for care - instead, use code Z93.-
Complications of external stoma (J95.0-, K94.-, N99.5-) - instead, use code J95.0-
Code Type-2 Excludes:
Fitting and adjustment of prosthetic and other devices - instead, use Section Z44-Z46



Wow thank you for all this great information!
 
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