Guidelines

Does CPT 36558 require an anatomical modifier?

Does CPT 36558 require an anatomical modifier?

The documentation indicates a central venous catheter tunneled, therefore supporting CPT® code 36558. A modifier for separate and distinct services is not needed for CPT® code 36558 since it is not integral to the other procedures performed and does not trigger a NCCI edit.

What is the CPT code for central venous catheter removal?

CPT codes 36589 and 36590 (central venous access device) are reported for the removal of a tunneled central venous catheter. Imaging guidance, including ultrasound or fluoroscopy, can be reported in addition to the procedure.

What is CPT code for central line placement?

36555
CPT codes for Central venous Catheter Placement (36555 to 36569)

What is the CPT code for a PICC line?

36569
2019 Radiology CPT Code Changes May Impact Your Radiology Practice Performance

CPT Description Description
36569 PICC Insertion PICC Insertion w/ Guidance
76937 US Guidance PICC Insertion w/o Guidance
77001 Fluoro Guidance
Total

What is procedure code 36558?

The descriptor for 36558 is – insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump, over 5 years of age. This code is for the procedure in which a single tunneled catheter is inserted.

What is a category code?

Remember that in ICD codes the ‘category’ refers to the first three characters of the code, which describe the injury or disease documented by the healthcare provider. With CPT, ‘Category’ refers to the division of the code set.

What is the CPT code 77001?

fluoroscopy
CPT code 77001 is specifically for reporting fluoroscopy utilized during the placement, replacement, or removal of a central venous access device.

What is procedure code 36556?

For example, CPT code 36556 (insertion of nontunneled centrally inserted central venous catheter, age 5 years or older) is considered comprehensive to codes 36000 (introduction of needle or intracatheter, vein) and 36410 (venipuncture, age 3 years or older, necessitating physician’s skill [separate procedure], for …

What is the CPT code for IV insertion?

36410-A needle is inserted through the skin to puncture a vein of a person 3 years of age or older. The needle is inserted into the vein and used for the withdrawal of blood for diagnotsic study or for the therapeutic infusion of intravenous medication.

What is procedure code 36620?

Arterial Catheter
Arterial Catheter (CPT code 36620) – Placement of a small catheter, usually in the radial artery, and connection of the catheter to electronic equipment allow for continuous monitoring of a patient’s blood pressure or when other means of measuring blood pressure are unreliable or unattainable.

What is a Category 3 code?

CPT Category III codes are a set of temporary (T) codes assigned to emerging technologies, services, and procedures. These codes are intended to be used for data collection to substantiate more widespread usage or to provide documentation for the Food and Drug Administration (FDA) approval process.

What are the 2 types of CPT codes?

There are three types of CPT codes: Category 1, Category 2 and Category 3. CPT is a registered trademark of the American Medical Association.

What is the CPT code for placement of central venous line?

CPT Codes 36488-36491 are used to identify placement of the central venous catheter, or central line, whether the origin or insertion is subclavian, jugular, or other vein. However, if the physician inserts an external jugular line percutaneously for diagnostic studies or intravenous therapy,…

What is CPT code for placement of central venous catheter?

Answer: For placement of the central venous catheter the appropriate CPT code is 36488* (placement of central venous catheter [subclavian, jugular, or other vein], percutaneous, age 2 years or under) or 36489* (percutaneous, over age 2). If it is medically necessary to insert the catheter under fluoroscopic guidance,…

What is the CPT code for removal of Port?

Removal of port: The correct code for the removal of a catheter with a port or pump is CPT code 36590 (Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion).

Is CPT 99386 covered by Medicare?

The 99386 is not being paid because Medicare does not cover 99386. They have the “Welcome to Medicare and AWV “G” codes. Also, you cannot bill two “new patient” visits. And third the problem that warranted the E/M during the preventive visit must be significant enough to warrant a work up “above and beyond” this means a different History,…