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Intraosseous (IO) Vascular Access

Refers to the placement of a specialized hollow bore needle through the cortex of a bone into the medullary space for infusion of medical therapy. It is used when standard venous access would delay therapy or is not easily obtained. IO success rates are twice as high as intravenous line placement in critical trauma patients without a blood pressure and should have priority over IV placement and is a highly underutilized technique.  IO can be used to administer any substance that is infusible intravenously, but IO use should not be for longer than 24 hours due to an increased risk of complications. 

This codes to ‘Transfusion into Bone Marrow’ in ICD-10-PCS.  ICD-10-PCS Book snapshot:

Device Names to look for: First Access for Shock and Trauma (FAST1),  the EZ-IO, Bone Injection Gun (BIG), Jamshidi needle, Diekman modified needle

Common IO Access Sites include: Sternum, clavicle, humeral head, iliac crest, distal femur, proximal tibia, distal tibia, calcaneus

Looking for coding help?

Learn more about Intellis IQ coding services. Our solutions are leading the way in the HIM industry.

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Need help to earn CEUs or educate your team? Visit the Intellis IQ Education Center and get your free account or contact us for more information.

Intellis is dedicated to elevating the business of healthcare. We are committed to offering support and the most current information and updates to collaborate with coding and CDI professionals to realize their fullest potential. We enthusiastically seek opportunities to develop ourselves and each other. We understand that knowledge is the key to success for our clients navigating the ever-changing health information management landscape.

Our team offers quarterly coding clinic reviews, coding clinic reviews for CDI, and other valuable courses.