ICD-10 Coding for Fracture of Port During Procedure(T85.61XA)
Complete ICD-10-CM coding and documentation guide for Fracture of Port During Procedure. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fracture of Port During Procedure
T85.6Primary Range
Mechanical complications of other specified internal prosthetic devices, implants and grafts
This range includes codes for mechanical complications of venous access devices, such as ports, which are relevant for fractures occurring during procedures.
Mechanical complications of internal fixation device of bones of limb
This range is not applicable to venous access devices but is relevant for orthopedic devices, which should not be confused with port fractures.
Key Information: ICD-10 code for fracture of port during procedure
Essential facts and insights about Fracture of Port During Procedure
Primary ICD-10-CM Code for fracture of port during procedure
Decision Criteria
clinical Criteria
- Imaging confirms fracture of venous access device
coding Criteria
- Device type is a venous access port, not orthopedic
Applicable To
- Fracture of venous access port
- Catheter fragmentation
Excludes
- Mechanical complications of orthopedic devices (T84.1-)
Clinical Validation Requirements
- Imaging studies confirming fracture
- Symptoms such as pain or device malfunction
Code-Specific Risks
- Confusion with orthopedic device codes
- Incorrect sequencing with related conditions
Coding Notes
- Ensure documentation specifies the type of device and nature of the fracture.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for adjustment and management of vascular access device
Z45.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fracture of Port During Procedure to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T85.61XA.
Impact
Clinical: Leads to misdiagnosis or incorrect treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always document device type and fracture specifics.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate healthcare data reporting.
Mitigation Strategy
Ensure the device is a venous access port, not an orthopedic device.
Impact
Failure to specify device type can lead to audit issues.
Mitigation Strategy
Ensure all documentation includes device type and fracture details.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Fracture of Port During Procedure, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fracture of Port During Procedure
Use these documentation templates to ensure complete and accurate documentation for Fracture of Port During Procedure. These templates include all required elements for proper coding and billing.
Fracture of port during chemotherapy
Specialty: OncologyRequired Elements
- Device type and model
- Location and nature of fracture
- Symptoms and imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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