2025 ICD-10-CM code Z49.02
(Active) Effective Date: N/A Factors influencing health status and contact with health services - Encounters for other specific health care 22 Feed
Encounter for fitting and adjustment of peritoneal dialysis catheter.
Medical necessity for the fitting and adjustment of a peritoneal dialysis catheter is established by the patient's underlying condition, such as end-stage renal disease, and the need for dialysis to manage the condition. Supporting documentation should demonstrate the medical necessity of the dialysis treatment.
The physician or other qualified healthcare professional is responsible for assessing the patient's need for peritoneal dialysis, inserting and adjusting the catheter, and monitoring the patient for complications.
In simple words: This code is used when a patient visits a healthcare professional for the fitting and adjustment of a peritoneal dialysis catheter, a tube placed in the abdomen to filter waste from the blood when the kidneys are not functioning properly.
Encounter for fitting and adjustment of peritoneal dialysis catheter. This code is used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state.
Example 1: A patient with end-stage renal disease presents to the clinic for the initial placement and adjustment of a peritoneal dialysis catheter., A patient with a peritoneal dialysis catheter experiences discomfort and returns to the clinic for catheter adjustment., A patient with a functioning peritoneal dialysis catheter presents to the clinic for routine catheter maintenance and adjustment.
Documentation should include the type of dialysis catheter, the site of insertion, the reason for the encounter (e.g., initial placement, adjustment, maintenance), and any associated diagnoses, such as end-stage renal disease (N18.6).
** This code is exempt from the Present on Admission (POA) reporting requirement.
- Specialties:Nephrology
- Place of Service:Office, Outpatient Hospital, Independent Clinic, Federally Qualified Health Center