tci ED Coding & Reimbursement Alert - 2024 Issue Q1

Reader Questions: Get More Info to Before Picking PICC Code

Question: Encounter notes indicate that the ED physician inserted a peripherally inserted central venous catheter (PICC). How should I report this encounter? Massachusetts Subscriber Answer: You’re going to need more information in order to choose the correct CPT® code for this procedure. Go back and look at the notes, and try to answer these questions: What was the age of the patient? Did the physician use imaging guidance? Then, you can choose one of the following codes, depending on encounter specifics: 36568 (Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance...

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