AHA Coding Clinic® for HCPCS - 2011 Issue 4; ASK the EDITOR

Chest x-ray post insertion of a central venous catheter

How would a facility appropriately report a chest x-ray after the insertion of a central venous catheter? Coding instructions published in the NCCI Policy Manual states that when a chest x-ray is performed to confirm the catheter position and to identify whether a pneumothorax is present, the chest x-ray is not separately reported. However, advice in the HCPCS Coding Clinic, Third Quarter 2002, page 8, states that it is appropriate to report the chest x-ray post-insertion with the modifier 59, Distinct Procedural Service, appended to the appropriate 70000 (chest x-ray) code series. Please advise. ...

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