tci General Surgery Coding Alert - 2016 Issue 12

Reader Question: Don't Let PICC Line Removal Fool You

Question: When our surgeon replaces a PICC line, we report 36584, but I don’t see a code for removing the PICC line. Should we use the same code? Connecticut Subscriber Answer: No, you should not list the replacement code for Peripherally Inserted Central venous Catheter (PICC) for removing the line. CPT® provides the following two PICC line replacement codes, one of which you mentioned: 36584 — Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access 36585 — Replacement, complete, of a periph­erally inserted central venous access device...

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