Find comprehensive information on Pulmonary Artery Catheterization, including clinical documentation requirements, medical coding guidelines, and healthcare best practices. Learn about Swan-Ganz catheter insertion, hemodynamic monitoring, right heart catheterization, and associated ICD-10 codes for accurate billing and reimbursement. Understand the indications, contraindications, and complications of PAC placement, and explore resources for optimal patient care related to pulmonary artery pressure monitoring and cardiac output measurement.
Also known as
Insertion of pulmonary artery catheter
Codes for inserting a pulmonary artery catheter.
Human immunodeficiency virus [HIV] disease
Conditions related to HIV infection, sometimes requiring monitoring with a pulmonary artery catheter.
Ischemic heart diseases
Heart conditions involving reduced blood flow, where a pulmonary artery catheter might be used.
Acute respiratory distress syndrome
Severe lung conditions where monitoring with a pulmonary artery catheter could be necessary.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the pulmonary artery catheter currently in place?
Yes
Any complications?
No
Is the encounter related to past PAC?
When to use each related code
| Description |
|---|
| Pulmonary Artery Catheter |
| Right Heart Catheterization |
| Swan-Ganz Catheterization |
Coding and documentation must specify the insertion site (e.g., subclavian, internal jugular) for accurate code assignment and billing.
Incomplete documentation of continuous monitoring duration can lead to undercoding and lost revenue. CDI should query for time details.
Using generic terms like Swan-Ganz can cause coding errors. Document the specific catheter type and its intended purpose.
Pulmonary artery catheter (PAC) insertion was performed for hemodynamic monitoring in a patient presenting with [chief complaint, e.g., acute decompensated heart failure, cardiogenic shock, severe sepsis]. Indications for PAC placement included [specific clinical indications, e.g., refractory hypotension unresponsive to fluid resuscitation, need for assessment of cardiac output and pulmonary artery pressures, suspicion of right ventricular dysfunction]. Pre-procedural assessment included review of coagulation studies, electrocardiogram, and chest x-ray. The procedure was performed under [specify level of sedation and monitoring, e.g., conscious sedation with continuous ECG and pulse oximetry monitoring]. The right internal jugular vein was accessed using sterile technique, and the PAC was advanced under fluoroscopic guidance. Post-procedure chest x-ray confirmed proper catheter placement. Initial hemodynamic measurements revealed [list initial values, e.g., right atrial pressure, pulmonary artery pressure, pulmonary artery wedge pressure, cardiac output, cardiac index, systemic vascular resistance]. The patient tolerated the procedure well and was transferred to [location, e.g., intensive care unit] for continued monitoring and management. Plan includes continuous hemodynamic monitoring, titration of medications based on PAC data, and frequent reassessment of clinical status. Differential diagnosis prior to PAC insertion included [list relevant differentials, e.g., hypovolemic shock, obstructive shock, distributive shock]. ICD-10 code [specify appropriate ICD-10 code, e.g., I95.821 for complications of pulmonary artery catheterization]. CPT code [specify appropriate CPT code, e.g., 93503 for right heart catheterization]. Keywords: Pulmonary artery catheter, Swan-Ganz catheter, right heart catheterization, hemodynamic monitoring, cardiac output, pulmonary artery pressure, wedge pressure, mixed venous oxygen saturation, heart failure, cardiogenic shock, sepsis, critical care, intensive care, invasive hemodynamic monitoring, right atrial pressure, vascular resistance, cardiac index, ICD-10 coding, CPT coding, medical billing.