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tci General Surgery Coding Alert - 2000 Issue 11

Reader Question: Insertion of PICC

Question: Can we get reimbursed for inserting PICC lines in an acute-care setting? Is there a separate billing from the room charge and normal care given in an acute setting?Louisiana SubscriberAnswer: Placement of a peripherally inserted central catheter (PICC) line is usually coded as 36489 (placement of a central venous catheter). Code 76000 (fluoroscopy, up to one hour) may also be billed with modifier -26 (professional component) attached if the documentation shows that fluoroscopy was used and identifies what was visualized, says Scott Roberson, CPC, CPC-H, APC, senior compliance coding consultant at Intermountain Health Care, a multispecialty practice...

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