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2025 ICD-10-CM code Z49.01

Encounter for fitting and adjustment of extracorporeal dialysis catheter.

A corresponding procedure code must accompany a Z code if a procedure is performed.Do not use this code for follow-up examination for medical surveillance after treatment (Z08-Z09).

The medical necessity for this code is established by the patient's underlying diagnosis requiring dialysis and the need for a properly functioning extracorporeal dialysis catheter. Documentation should clearly support the reason for the encounter and the clinical rationale for any procedures performed.

The clinician is responsible for ensuring the proper fitting, adjustment, removal, replacement, or cleaning of the extracorporeal dialysis catheter, addressing any patient concerns or complications related to the catheter.

In simple words: This code is used when a patient visits a healthcare professional to have their dialysis catheter fitted, adjusted, removed, replaced, or cleaned.

This code is used for an encounter specifically for the fitting and adjustment of an extracorporeal dialysis catheter.It also includes encounters for removal or replacement, and toilet or cleansing of a renal dialysis catheter.It should be used for patients receiving aftercare, prophylactic care, or care to consolidate treatment, or to deal with a residual state.

Example 1: A patient with end-stage renal disease presents to the outpatient dialysis center for a scheduled appointment to have their extracorporeal dialysis catheter checked and adjusted for optimal flow., A patient recently discharged from the hospital following dialysis catheter placement returns to the clinic for a follow-up to ensure the catheter is fitting correctly and there are no signs of infection., A patient with a malfunctioning dialysis catheter presents to the emergency department for removal and replacement of the catheter.

Documentation should include the type of dialysis catheter, the reason for the encounter (fitting, adjustment, removal, replacement, or cleaning), and any associated procedures or complications. The medical record should also clearly document the patient's underlying condition necessitating dialysis.

** This code is a Z code, which represents a reason for encounter. It is important to code any associated procedures performed during the encounter. For example, if the catheter is replaced during the encounter, the appropriate procedure code for catheter replacement should also be reported.

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