Porta cath care code

johanna.smith@ccsjuneau.orgjohanna.smith@ccsjuneau.org
in Home Care Coding General
I have a patient in home health who has breast cancer, who has had a bilateral mastectomy and is still on chemo. Her referral states 'porta cath flush monthly'. I believe this is the same as surgical wound care but I'm not sure. Since she's had the mastectomy, I don't have the site where the breast cancer originated so would I code primary as Z48.01, surgical wound care, C50.91 breast cancer unspecified site and absence of breast Z90.13?
Thank you,
Johanna

Comments

  • apluscodingandqa@gmail.comapluscodingandqa@gmail.com
    edited May 2017
    I would code attention to VAD if that's what you are seeing the pt for. Then the others.
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited May 2017
    The "porta-Cath" is a surgical wound for OASIS purposes.
    Port-a-cath care should be coded to Z45.2 Encounter for adjustment and management of vascular access device

    Nancy Wolverton RN,CCM
    QR Specialist, Central Office
    5800 West 10th St., Suite 300
    Little Rock, AR. 72205
    Ph# 501-280-4913
    Fax# 501-280-4385
    Nancy.Wolverton@arkansas.gov
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