Leakage of umbrella device, sequela

This code indicates a long-term complication arising from the leakage of an umbrella device, which is typically used to close patent foramen ovale (PFO) or atrial septal defects (ASD). Leakage signifies that the device is not fully occluding the intended opening, allowing blood to pass through. The "S" in the code denotes that this is a sequela, meaning it's a late effect or residual condition of the initial leakage.

Use this code when documenting a patient's current condition that is a direct consequence of a previously identified leakage of an implanted umbrella device. This applies to follow-up encounters where the leakage itself is no longer an acute event, but its ongoing effects (e.g., persistent shunting, paradoxical embolism, or related symptoms) are being addressed.

• Always assign this code as a secondary diagnosis, following the code for the specific sequela or complication being treated.
• Ensure documentation clearly links the current condition to the prior umbrella device leakage.
• Do not use this code for acute or initial presentations of umbrella device leakage; refer to the appropriate acute complication codes.