Fitting and adjustment of extracorporeal dialysis catheter

This code signifies a patient encounter focused on the maintenance or modification of an external device used for dialysis. This includes procedures related to the access point (e.g., catheter) that connects the patient's bloodstream to the dialysis machine.

Use this code for routine follow-up visits where a dialysis catheter is being checked, flushed, or adjusted to ensure proper function. It also applies when a catheter needs to be replaced or repaired due to malfunction or infection, but the primary reason for the encounter is the device itself, not the underlying kidney disease.

• Always code the underlying chronic kidney disease (CKD) or end-stage renal disease (ESRD) as a primary or secondary diagnosis.
• Do not use this code for the initial insertion of a dialysis catheter; a procedure code for insertion would be more appropriate.
• Consider additional codes for any complications encountered during the fitting or adjustment, such as infection or mechanical issues.