Find comprehensive information on peritoneal dialysis diagnosis, including ICD-10 codes, clinical documentation improvement tips, and healthcare coding guidelines. Learn about PD catheter insertion, dialysis adequacy, ultrafiltration failure, and peritonitis treatment. This resource provides essential information for physicians, nurses, coders, and other healthcare professionals involved in peritoneal dialysis patient care and medical record documentation. Explore relevant topics like CAPD, APD, and common complications of peritoneal dialysis to enhance your understanding and ensure accurate clinical documentation and coding.
Also known as
Dependence on renal dialysis
Indicates dependence on peritoneal dialysis for renal replacement therapy.
End stage renal disease
Chronic kidney disease requiring dialysis or transplant.
Complication of peritoneal dialysis
Covers various complications arising from peritoneal dialysis procedures.
Peritoneal dialysis as the cause of abnormal reaction
Identifies adverse reactions or complications due to peritoneal dialysis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the encounter for initiation of peritoneal dialysis?
Yes
Any complications?
No
Is it a routine maintenance encounter?
When to use each related code
| Description |
|---|
| Peritoneal Dialysis |
| Hemodialysis |
| Chronic Kidney Disease |
Incorrect coding for catheter insertion, removal, or replacement during PD, impacting reimbursement.
Inaccurate coding for type, frequency, and volume of PD solution, leading to billing errors.
Failure to capture and code PD-related complications like peritonitis or exit-site infections, affecting quality metrics.
Q: What are the absolute and relative contraindications to initiating peritoneal dialysis in patients with end-stage renal disease?
A: Choosing between peritoneal dialysis (PD) and hemodialysis (HD) requires careful consideration of patient-specific factors. Absolute contraindications to PD include inadequate peritoneal membrane function (e.g., extensive prior abdominal surgeries, severe adhesions, encapsulating peritoneal sclerosis), lack of a functional abdominal cavity for catheter placement, and patient inability to perform exchanges or care for the catheter due to cognitive impairment or physical limitations. Relative contraindications, where PD may be challenging but not impossible, include recurrent hernias, ostomies, active inflammatory bowel disease, and severe morbid obesity. These cases may warrant individualized risk-benefit assessment and close monitoring. Explore how different patient characteristics influence modality selection in our comprehensive guide to renal replacement therapy.
Q: How can I effectively manage common peritoneal dialysis complications like peritonitis, exit-site infections, and ultrafiltration failure in my patients?
A: Managing PD complications proactively improves patient outcomes and quality of life. Peritonitis is a serious complication often presenting with cloudy effluent, abdominal pain, and fever. Prompt diagnosis through effluent cell count and culture is crucial, followed by intraperitoneal antibiotic administration based on suspected organisms. Exit-site infections, characterized by redness, swelling, and drainage around the catheter exit site, often require topical and/or oral antibiotics. Ultrafiltration failure, marked by reduced fluid removal, can be addressed by modifying dialysate glucose concentrations, dwell times, or by considering alternative PD modalities like automated peritoneal dialysis (APD). Consider implementing standardized protocols for infection prevention and management in your practice. Learn more about advanced strategies for optimizing PD outcomes in our detailed clinical resource section.
Patient presents for peritoneal dialysis management. Assessment reveals the patient is receiving peritoneal dialysis for end-stage renal disease (ESRD), documented diagnosis code N79.5. The patient's current prescription is for continuous ambulatory peritoneal dialysis (CAPD), utilizing a standard dialysate solution with appropriate dextrose concentration. The patient reports subjective complaints of [insert patient-specific complaints, e.g., abdominal discomfort, cloudy effluent, fatigue], with an objective assessment revealing [insert objective findings, e.g., mild abdominal tenderness, clear effluent, stable vital signs]. Laboratory results for creatinine, BUN, and potassium are reviewed and noted. The patient's current dry weight is [insert weight] kg. Dialysis adequacy, including Kt/V urea clearance and peritoneal equilibration test (PET) results, are monitored and documented. Plan includes continued peritoneal dialysis as prescribed, patient education regarding fluid balance, dietary restrictions appropriate for renal disease, and infection prevention measures specific to peritoneal dialysis. Follow-up appointments are scheduled for ongoing monitoring of dialysis adequacy, electrolyte balance, and overall clinical status. The patient demonstrates understanding of the treatment plan and potential complications. ICD-10 code N79.5, peritoneal dialysis, is confirmed. CPT codes for the peritoneal dialysis session and any associated procedures, such as catheter care or assessment, are documented for billing purposes.