tci General Surgery Coding Alert - 2022 Issue Q1

Reader Questions: Drill Down to Details for Central Line Coding

Question: The surgeon inserted a central line with a subcutaneous port in the jugular vein for a 4-year-old patient. The op report describes placing a long catheter under the skin between the external access site and the vein, and also mentions securing the catheter with a subcutaneous cuff. How should we code this case? Kentucky Subscriber Answer: The correct code for this case is 36560 (Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age). Several details mentioned in your question lead to this code choice. Tunneled: Although you don’t...

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