Breakdown of vascular dialysis catheter, sequela

This code signifies a mechanical failure or malfunction of a vascular access device specifically used for dialysis, occurring as a long-term consequence or complication. This includes issues such as catheter fracture, kinking, or disconnection that impede its proper function for hemodialysis or peritoneal dialysis. It represents the residual effect of a past mechanical breakdown.

Apply this code when documenting a patient presenting with a current problem directly attributable to a previous mechanical breakdown of their dialysis catheter. This would be used for follow-up care, assessment, or treatment of the sequelae, rather than the initial acute event. Examples include a patient requiring a new catheter due to a prior fracture, or ongoing complications from a past kinking incident.

• Always use in conjunction with a code for the underlying condition requiring dialysis (e.g., ESRD).
• Ensure the "S" seventh character is appropriate for a sequela, indicating a complication or condition that is the late effect of an earlier injury or disease.
• Distinguish from acute mechanical complications (e.g., T82.41XA for initial encounter) or other types of dialysis catheter complications (e.g., infection, hemorrhage).