Leakage of umbrella device, subsequent encounter

This code signifies a complication where an umbrella device, typically used to close a patent foramen ovale (PFO) or atrial septal defect (ASD), is leaking after its initial placement. This leakage indicates a failure of the device to completely seal the intended opening, potentially leading to continued shunting of blood.

Use this code when a patient presents for follow-up care or treatment related to a previously implanted umbrella device that is now confirmed to have a leak. This applies to situations where the leakage is identified during a subsequent diagnostic evaluation or when the patient experiences symptoms attributable to the device malfunction.

• Ensure documentation clearly specifies "leakage" of the umbrella device, not just displacement or erosion.
• The "D" seventh character indicates a subsequent encounter, meaning the patient is receiving routine care during the healing or recovery phase, or treatment for the complication.
• Always code the underlying condition (e.g., PFO, ASD) if it is still relevant to the patient's care.