Central Venous Catheter Placement with Guidance

Effective October 1, 2010 a new code 38.97, Central venous catheter placement with guidance, has been created to describe central venous catheter placement under electrocardiographic, fluoroscopy, and ultrasound guidance. This type of indwelling vascular catheter is inserted with the use of an electrocardiogram as well as fluoroscopy and ultrasound to ensure the proper positioning of the catheter. Central venous catheter placement with electrocardiographic guidance is a new technology that combines electrocardiography with catheter insertion in order to accurately align the tip of the catheter in the correct position in the superior vena cava. During catheter placement, two standard...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers the introduction of a new procedure code effective October 1, 2010 for central venous catheter placement with guidance. It discusses the general clinical context for guided catheter placement, the types of imaging or monitoring guidance included, and why the change matters for coding professionals reviewing vascular access procedures.

Why This Topic Matters

Guided central venous catheter placement is a common procedure category where accurate code assignment depends on understanding the scope of the newly created procedure code and the types of guidance it encompasses. The article is relevant to coders, auditors, and clinical documentation staff who work with inpatient procedure coding changes.

Article Sections

  1. Effective Date and New Procedure Code

    Introduces the new procedure code and the time frame when it became effective. Summarizes the general purpose of the code change.

  2. Clinical Context for Guided Catheter Placement

    Describes the procedure setting and the broader technologies associated with guided central venous catheter insertion. Provides background on how guidance is used during placement.

  3. Code Inclusion and Coding Question

    States the types of guidance associated with the new code and presents a documentation-based coding question. Frames the article’s practical coding focus without giving additional detail.

What You Will Learn

  • The scope of a newly created procedure code for guided central venous catheter placement
  • The general clinical technologies associated with guided vascular catheter insertion
  • How the article frames a documentation scenario for procedure coding review
  • The effective date associated with the coding change

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation staff
  • Inpatient procedure coding professionals

Codes Discussed

  • ICD-9-CM: 38.97

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