tci ED Coding & Reimbursement Alert - 2002 Issue 2

Reader Question: External Jugular Line

Question: Is an external jugular line considered a central line or a central venous-access port by CPT?New Jersey Subscriber  Answer: If the external jugular line is a venous-access catheter like those used for central venous pressure, hyperalimentation, hemodialysis or chemotherapy, it would be considered a peripherally inserted central catheter or PICC line. To be a PICC line, the tip of the catheter must be positioned in the central venous circulation, typically the superior vena cava or the junction of the vena cava with the right atrium. These catheters are intended for short- or medium-term use and are...

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