tci ED Coding & Reimbursement Alert - 1999 Issue 6

Reader Question: Coding for an External Jugular Line

Question: Is an external jugular line considered a central line by CPT? ECA SubscriberAnswer: Yes, if the external jugular line is a venous-access catheter, says Cole, such as those used for central venous pressure, hyperalimentation, hemodialysis, or chemotherapy. CPT Codes 36488-36491 are used to identify placement of the central venous catheter, or central line, whether the origin or insertion is subclavian, jugular, or other vein. However, if the physician inserts an external jugular line percutaneously for diagnostic studies or intravenous therapy, the line would not be considered a central one, and CPT codes 36400-36410 would be used, she notes...

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