tci Outpatient Facility Coding Alert - 2016 Issue 5

Reader Question: Get All the Details Before Choosing a Catheter Code

Question: Our surgeon inserted a non-tunneled catheter for a three-year-old patient. How should we code the service? SuperCoder Subscriber Answer: The patient’s age is important when choosing a catheter code, but that’s not the only detail you need to confirm. For example, you need to know whether the catheter was peripherally or centrally inserted. The answer to that question would lead to one of the following codes: 36555 — Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age 36568 — Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or...

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