AHA Coding Clinic® for HCPCS - 2016 Issue 2; Ask the Editor

Insertion of a midline catheter

A 36 year-old patient presents for insertion of a single lumen midline catheter for intravenous access for infusion. The right brachial vein above the antecubital fossa was accessed using ultrasound guidance. The vein was patent and the midline catheter inserted, flushed with saline and fixed to the skin. The tip lies in the peripheral venous circulation distal to the axillary vein. The midline is 15 cm in length. No infusion was done at this encounter. Patient tolerated the procedure well. If where the tip of the catheter or device terminates is not documented, can a code still be assigned? What is the correct CPT code for the insertion of the midline catheter?  ...

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