AHA Coding Clinic® for HCPCS - 2019 Issue 2; CPT code update for central venous catheter procedures
CPT code update for central venous catheter procedures
Each year the American Medical Association (AMA) provides revisions to the CPT code set. The AMA’s numerous publications provide information regarding new, revised and deleted codes along with the rationale for code use. The central venous access procedures continue to remain a hot topic for the Central Office. This article highlights some of the code changes, effective January 1, 2019, in the Surgery Section pertaining to central venous catheters. Central venous access catheter or device The following definition of a central venous catheter is published in the current CPT Changes and the CPT Codebook Surgery Section and...
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Article Overview
This article reviews coding updates for central venous catheter and PICC-related procedures, including the 2019 CPT revisions discussed by the AMA and related HCPCS Level II device reporting for facility settings. It is useful for coders, billers, and revenue cycle staff who need a broad understanding of which procedure categories, imaging guidance concepts, and device codes are addressed in the update.
Why This Topic Matters
Central venous access reporting can be affected by changes in procedure codes, age-based distinctions, imaging guidance, and device reporting rules. Understanding the scope of these updates helps coding teams evaluate whether their current workflow and code references align with the article’s guidance.
Article Sections
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Central venous access catheter or device
Defines the general central venous access topic area and introduces the imaging guidance concepts discussed later in the article.
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Peripherally inserted central venous catheters (PICCs)
Covers the PICC-related portion of the update, including the 2019 changes and the overall scope of insertion, replacement, and image-guided reporting.
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Midline catheters
Addresses midline catheter placement and how this catheter type is distinguished from central venous access reporting in the article's discussion.
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HCPCS Level II codes
Summarizes the facility-oriented device reporting portion of the article and the general HCPCS Level II category used for supplies and devices.
What You Will Learn
- How the article frames 2019 CPT updates for central venous access procedures
- Which broad procedure categories are discussed for PICCs and midline catheters
- What general types of imaging guidance and device reporting are covered
- How the article relates CPT guidance to HCPCS Level II facility reporting
Who Should Read This
- Medical coders
- Coding managers
- Billing staff
- Revenue cycle teams
- Facility coding professionals
- Central office coding staff
Codes Discussed
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