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tci Outpatient Facility Coding Alert - 2019 Issue Q4

Reader Question: I.D. Key Differences Between Port, Pump Catheter Infusions

Question: I’m debating between 36561 and 36563 for a procedure involving the insertion of a PowerPort® implantable infusion catheter, centrally tunneled for a patient over 5 years old. Fluoroscopy and ultrasound guidance are included. The report is saved in a picture archiving and communication system (PACS). Wisconsin Subscriber Answer: Since the surgeon documents the insertion of a port, not a pump, you’re going to report 36561 (Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older). However, you should also be reporting the appropriate codes for the use of fluoroscopic...

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