T82.590
Other mechanical complication of surgically created arteriovenous fistula
Clinical Classification Guidelines
Medical Intelligence & Overview
An arteriovenous fistula (AV fistula) is a common surgical procedure often performed to facilitate long-term hemodialysis in patients with kidney failure. While generally effective, this surgical connection between an artery and a vein can sometimes develop complications. The ICD-10 code T82.590 specifically refers to other mechanical complications that may occur following the creation of an AV fistula. Recognizing these issues is important for maintaining the health of the fistula and ensuring the safety of the patient. These complications can interfere with the fistula's function, potentially impacting dialysis treatments and overall patient outcomes.
Causes & Symptoms
Clinical Causes: Physical trauma or injury to the fistula site Incorrect surgical technique or postoperative complications Blood clots forming within the fistula, leading to mechanical blockages Aneurysm development or dilatation of the fistula Steal syndrome, where blood flow is diverted away from the hand, causing ischemia Infection leading to structural damage or mechanical disturbance Pressure from surrounding tissues or external compression devices Progressive narrowing or stenosis of the fistula due to scar tissue formation
Key Symptoms: Swelling or tenderness at the fistula site A noticeable pulsatile mass or abnormal bulging Decreased blood flow resulting in insufficient dialysis or feeling of coldness in the limb Darkening or discoloration of the limb due to ischemia Pain or discomfort during or after dialysis sessions Presence of a bruit or abnormal whooshing sound heard through a stethoscope Signs of infection such as redness, warmth, or purulent discharge Numbness or tingling in the hand or fingers
Diagnostic & Treatment
Diagnosis Path: Doppler ultrasound to evaluate blood flow and identify blockages or aneurysms Venography, an imaging study that visualizes the veins and fistula structure Physical examination to detect abnormalities, swelling, or pulsatile masses Angiography in some cases, providing detailed images of blood vessels
Treatment Protocols: Surgical correction or revision of the fistula, such as removing clots or repairing aneurysms Endovascular procedures like angioplasty to widen narrowed segments Thrombolytic therapy to dissolve clots obstructing blood flow
Clinical Advice & FAQs
Billing Guidance
Is T82.590 a billable ICD-10 code?
Yes, T82.590 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report T82.590?
Clinical documentation must specify the nature of Other mechanical complication of surgically created arteriovenous fistula and any associated comorbidities for accurate reporting.
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