tci ED Coding & Reimbursement Alert - 2017 Issue 4

Reader Question: Watch for the Requirement for Physician Skill Before Reporting Code US guided IV placement

Question: My doctors often do ultrasound guided peripheral IV access. For these patients, our providers usually placed ultrasound guided peripheral IVs. There is a code CPT®36000 to bill for this; however, we were recently told that this is bundled into the E/M service. Is this true? Where can I find documentation of this? Texas Subscriber Answer: There isn't any documented policy or guideline that would prevent the emergency physician from reporting 36410 (Venipuncture, child age 3 years or older, necessitating the skill of a physician or other qualified health care professional [separate procedure], for diagnostic or therapeutic purposes...

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