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Hickman Catheter - Healthcare Quality Improvement Campaign
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A Hickman tunneled central venous catheter is a type of central venous catheter that is inserted through the skin and tunneled under the subcutaneous tissue to reduce the risk of infection. It provides long-term venous access for various medical treatments, including chemotherapy, blood transfusions, and other intravenous therapies. Here are some relevant ICD-10 codes that might be associated with a Hickman tunneled central venous catheter:

  1. CPT Code for Insertion:
    • 36561 – Insertion of tunneled centrally inserted central venous catheter (CICC), without subcutaneous port or pump, age 5 years or older
  2. ICD-10 Codes for Encounter or Procedure:
    • Z45.2 – Encounter for adjustment and management of implanted device, central venous catheter: This code is used for encounters related to the management and adjustment of central venous catheters, including Hickman tunneled catheters.
    • T85.79XA – Infection and inflammatory reaction due to other internal prosthetic devices, implants, and grafts, initial encounter: This code might be used if there’s an infection or inflammatory reaction related to the Hickman tunneled catheter.
    • T82.7XXA – Mechanical complication of other vascular device, implant, and graft, initial encounter: This code could be used if there’s a mechanical complication with the catheter, such as dislodgment or malfunction.

It’s important to note that the specific ICD-10 codes used will depend on the patient’s clinical situation, the reason for the catheter, any complications, and the type of medical treatments being administered. Consulting with a medical coder or healthcare professional will ensure accurate coding based on the patient’s circumstances and the specific procedures or encounters related to the Hickman tunneled central venous catheter.

Hickman tunneled central venous catheter

Oncology Catheter Billing Codes

In oncology, a Hickman catheter is commonly used for patients undergoing cancer treatment, such as chemotherapy, who require long-term intravenous access. Here are some relevant ICD-10 codes that might be associated with a Hickman catheter in an oncology setting:

  • Z45.2 – Encounter for adjustment and management of implanted device, central venous catheter: This code is used to indicate encounters related to the management and adjustment of central venous catheters, which could include Hickman catheters used for oncology treatments.
  • T85.79XA – Infection and inflammatory reaction due to other internal prosthetic devices, implants, and grafts, initial encounter: This code might be used if there’s an infection or inflammatory reaction related to the Hickman catheter.
  • T82.7XXA – Mechanical complication of other vascular device, implant, and graft, initial encounter: This code could be used if there’s a mechanical complication with the Hickman catheter, such as dislodgment or malfunction.

Please note that specific ICD-10 codes can vary based on the patient’s clinical situation, the reason for the catheter, any complications, and the type of oncology treatment being administered. It’s important to consult with a medical coder or healthcare professional to ensure accurate coding based on the patient’s circumstances and the specific procedures or encounters related to the Hickman catheter in the context of oncology care.

Hickman catheter is a type of central venous catheter.

The Hickman catheter is a type of central venous catheter often used for long-term intravenous access, particularly in patients who require frequent or ongoing administration of medications, fluids, blood products, or parenteral nutrition. It’s inserted into a large vein, typically the jugular vein, and the catheter tip rests in a large vein near the heart. The catheter is tunneled under the skin to reduce the risk of infection.

ICD-10 codes for a Hickman catheter insertion or management could include:

  • CPT Code for Insertion:
    • 36561 – Insertion of tunneled centrally inserted central venous catheter (CICC), without subcutaneous port or pump, age 5 years or older
  • ICD-10 Codes for Encounter or Procedure:
    • Z45.2 – Encounter for adjustment and management of implanted device, central venous catheter
    • Z45.89 – Encounter for other adjustment and management of implanted devices
    • 996.62 – Complications of other vascular device, implant and graft

Please note that specific ICD-10 codes may vary based on the reason for the catheter insertion, any complications, and other factors. It’s important to consult with a medical coder or healthcare professional to ensure accurate coding based on the patient’s clinical situation and the specific procedure performed.

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Hickman Catheter

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