tci General Surgery Coding Alert - 2004 Issue 3

Reader Question: Include Catheter Maintenance in E/M

Question: How can I report catheter maintenance following venous access procedures? I've checked everywhere in CPT and can't find an appropriate code. What about an unlisted-procedure code such as 37799?Ohio Subscriber Answer: Even with the addition of dozens of new codes in 2004, no amount of searching through CPT will yield any codes for routine maintenance of central venous catheters: They simply aren't there. Rather, to report flushing or other maintenance of a catheter or partially implanted catheter (for example, 36556, Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older) performed by office personnel...

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