![]() with implantable infusion device or pump Z45.1Ĭan you please confirm what is the correct code for the principal diagnosis and if we do code the neoplams codes? If we do code the neoplasms should we follow the same principle when coding insertion/removal pain management for example. Please see the index logic for why we have assigned Z45.1: ![]() When coding insertion/removal of infusaport, we have instructed our coders to use Z45.1 Adjustment and management of implantable infusion device or pump as the principal diagnosis with 34527-01 Insertion of implantable vascular infusion pumpįor insertion and 34530-03 Removal of implantable vascular infusion device or pump for removal.Īfter searching the NCCH database we noticed that in query Q1982 it stated Z45.2 Adjustment and management of vascular access device should be assigned as the principal and the neoplasm codes as additional diagnoses.
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