Z49.02
BillableEncounter for fitting and adjustment of peritoneal dialysis catheter
HCC Category Mapping
V24HCC 134 — Dialysis Status
0.452ESRDHCC 134 — Dialysis Status
0.000RxHCCHCC 261 — End Stage Renal Disease and Dialysis
0.000What This Code Means
A visit to fit, adjust, or replace a catheter used for peritoneal dialysis (a treatment that uses the abdominal lining to filter waste).
Coding Tips
- •Use this code for peritoneal dialysis catheter placement, adjustment, or replacement procedures
- •Distinguish from hemodialysis codes; peritoneal dialysis uses the peritoneal membrane, not a machine
Clinical Significance
This code indicates a patient requires ongoing dialysis for end-stage renal disease with encounters for peritoneal dialysis catheter management, representing severe kidney dysfunction requiring life-sustaining treatment. Peritoneal dialysis catheter care is essential for maintaining peritoneal access for home-based dialysis therapy.
Documentation Requirements
- ✓Documentation of encounter for peritoneal catheter fitting, adjustment, or maintenance
- ✓Specification of peritoneal dialysis catheter type
- ✓Patient's underlying end-stage renal disease status
- ✓Type of catheter service provided (insertion, adjustment, replacement)
- ✓Peritoneal access site and catheter functionality
- ✓Provider performing catheter management
- ✓Any complications with catheter or peritoneal access
- ✓Ongoing peritoneal dialysis treatment plan
Commonly Confused Codes
Z49.01 — Use for extracorporeal dialysis catheter instead of peritonealZ99.2 — Use for dependence on renal dialysis status, not catheter encounterT85.691A — Use for peritoneal catheter complications, not routine fittingZ49.32 — Use for peritoneal dialysis adequacy testing, not catheter careK91.5 — Use for postprocedural complications, not routine catheter management
Code Hierarchy
└Z49Encounter for care involving renal dialysis└Z49.0Preparatory care for renal dialysis└Z49.02Encounter for fitting and adjustment of peritoneal dialysis catheter
└Z49.02Encounter for fitting and adjustment of peritoneal dialysis catheter