tci General Surgery Coding Alert - 2018 Issue 2

Reader Question: Solve Catheter Insertion- Replacement- Removal-Mystery

Question: For a 72-year-old male patient, our surgeon removed a non-tunneled central venous catheter through the subclavian vein and replaced it with a Hickman line, which is tunneled. He inserted the new line through the same site, so I looked for a replacement code, but can't find one that describes replacing a non-tunneled catheter with a tunneled catheter. How should I code this? Arkansas Subscriber Answer: You should code only the placement of the new line, using code 36558 (Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older). Replacement: CPT®...

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