If a patient is undergoing an initial replacement of a leaking dialysis catheter, which ICD-10-CM code is reported?

The selected code, T82.43XA, is appropriate for reporting an initial replacement of a leaking dialysis catheter. This code falls under the category of complications of vascular devices, implants, and grafts. Specifically, T82.43 indicates a complication related to a dialysis catheter, where the specified issue is a leak requiring replacement.

When coding for a situation involving a dialysis catheter, it’s important to ensure that the correct complication is documented. The "XA" extension indicates that this is the first encounter for this type of encounter, signifying it is an initial replacement of the catheter due to a leaking condition. This provides clarity and specificity in the medical record for proper medical billing and follow-up care.

The other codes do not specifically address the complication of a leaking dialysis catheter or relate to this specific scenario. For instance, T81.12XA relates to a post-operative complication, which would not apply directly to this case. T82.34XA refers to other mechanical complications of a vascular catheter, while T83.69XA pertains to complications of an abdominal prolapse, hence not relevant in this context.