tci General Surgery Coding Alert - 2004 Issue 9

Coding Tips: 4 Steps to Correct Arterial Coding

If you want to decrease your chances of losing deserved reimbursement for arterial catheter placements, follow these four expert-approved steps: 1. Code based on what the surgeon documents in writing, not based on what the surgeon says he did or what you think he did. 2. Code the highest-order catheter placement the surgeon achieved within each vascular family. 3. Do not code lower-order catheter placements that are "on the way to" the higher-order position. 4. Report any additional second-order or higher catheter placements within the same vascular family using the "add-on" codes +36218 (Selective catheter placement, arterial system; additional...

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