2025 ICD-10-CM code Z45.2
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Aftercare - Encounters for other specific health care Chapter 21: Factors influencing health status and contact with health services Feed
Encounter for adjustment and management of a vascular access device.
Modifiers may apply to the accompanying procedure code, depending on the circumstances of the procedure.Consult the appropriate modifier guidelines.
Medical necessity would be established by the need for access to the vascular device for treatment, medication administration, or to address an issue that may compromise its function. Documentation must support this need.
The clinical responsibility lies with the physician or qualified healthcare professional managing the vascular access device. This may involve assessment of the device's patency, flushing, medication administration through the device, and troubleshooting any minor issues.More complex problems would require additional coding.
- Chapter 21: Factors influencing health status and contact with health services
- Z45- Adjustment and management of implanted device
In simple words: This code is used when someone goes to the doctor for a check-up or maintenance of an existing tube or port in their vein used for medication or other treatments. It does not cover the initial placement or removal of the device.
This code (Z45.2) signifies an encounter for the adjustment and management of a vascular access device.It's used when a patient is seen for maintenance, troubleshooting, or modification of an existing vascular access device, such as a central venous catheter, peripherally inserted central catheter (PICC line), or implanted port. This code should only be used when a procedure is performed; if no procedure is done, a different code should be used.The code does not encompass initial placement, removal, or complications related to the device.
Example 1: A patient with a PICC line is seen for a routine flush and assessment of the line's patency., A patient with an implanted port needs the port accessed for chemotherapy administration. The port is accessed without complication., A patient presents with a malfunctioning central venous catheter, necessitating its replacement.A new catheter is successfully placed.
Documentation should include the type of vascular access device, the reason for the encounter (e.g., routine maintenance, troubleshooting, medication administration), a detailed description of the procedure performed, and the patient's response to the procedure.
** This code is an aftercare code and should not be used for initial placement or removal of the device or for complications.
- Revenue Code: Revenue codes will vary depending on the specific procedure performed and the place of service.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the accompanying procedure code and other factors.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10 code.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Oncology, Hematology, Cardiology, Vascular Surgery, Nephrology
- Place of Service:Office, Hospital (inpatient or outpatient), Ambulatory Surgical Center, other clinical settings where vascular access devices are managed