Breakdown (mechanical) of vascular dialysis catheter, init

This code signifies a mechanical failure of a vascular catheter specifically used for dialysis, such as a fractured line, dislodged port, or other structural defect. This breakdown impairs the catheter's ability to function correctly for hemodialysis or peritoneal dialysis.

Apply this code when a patient presents with a newly identified mechanical issue with their dialysis catheter requiring intervention. This includes situations where the catheter is no longer patent, has a visible defect, or is otherwise compromised due to a structural problem.

• Ensure the documentation clearly states a mechanical breakdown, not an infection or other complication.
• This "initial encounter" code is used for each episode of care where the breakdown is being treated.
• Always code the underlying reason for dialysis (e.g., end-stage renal disease) as a primary diagnosis.