Skip Navigation

HCC 134 – Dialysis Status

HCC 134 – Dialysis Status

Renal dialysis is among the most costly conditions in the healthcare system. History of dialysis status is commonly left out of provider assessments, thereby missing an opportunity to document the extensive benefits and medical resources utilized in providing care.

To meet coding requirements for dialysis status, the intent of the face-to-face encounter needs to be clearly documented.

Hospitals may admit patients seen as outpatients in the provider’s office or those scheduled with a dialysis center for the sole purpose of treatment. Providers should report when kidney disease, renal failure, nephritis, or other kidney diseases lead a patient to renal dialysis, in addition to the administration of treatment diagnosis code.

ICD-10 codes for dialysis in HCC 134 range from status, fitting and adjusting, to testing, complications, and reactions.

Status – The coding and documentation must support whether the patient is medically compliant with the treatment.
Choose the type of dialysis Identify the status of dialysis therapy
Z49.31 Encounter for adequacy testing for hemodialysis Z99.2 Dependence on renal dialysis
Z49.32 Encounter for adequacy testing for peritoneal dialysis Z91.15 Noncompliance with renal dialysis
Fitting/Adjustment (including insertion for later use)
Z49.01 Encounter for fitting and adjustment of extracorporeal dialysis catheter
Z49.02 Encounter for fitting and adjustment of peritoneal dialysis catheter
Testing – Documentation should directly relate dialysis treatment to the testing.
Z49.31 Encounter for adequacy testing for hemodialysis
Z49.32 Encounter for adequacy testing for peritoneal dialysis
Complications and Reactions – When selecting these codes, make sure to add the 7th-digit character to identify if the encounter is:
A – initial, D – subsequent, S – sequela
T85.691_ Other mechanical complication of intraperitoneal dialysis catheter
T85.71X_ Infection and inflammatory reaction due to peritoneal dialysis catheter
T82.818_ Embolism of vascular prosthetic devices, implants and grafts, initial encounter
T82.828_ Fibrosis of vascular prosthetic devices, implants and grafts, initial encounter
T82.838_ Hemorrhage of vascular prosthetic devices, implants and grafts, initial encounter
T82.848_ Pain from vascular prosthetic devices, implants and grafts, initial encounter
T82.858_ Stenosis of vascular prosthetic devices, implants and grafts, initial encounter
T82.868_ Thrombosis of vascular prosthetic devices, implants and grafts, initial encounter
T82.898_ Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter

Reference: International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)