Cardiovascular System/Surgery (June 2004)

June 2004 page 10 Coding Consultation: Questions and Answers Cardiovascular System, 36489 (Q&A) Question If a central venous catheter is inserted into the left subclavian vessel, would it be accurate to add modifier LT to code 36489 ? AMA Comment Code 36489 was formerly used to identify placement of a central line venous access catheter. For CPT 2004 , this code has been deleted and a new set of codes added to identify a variety of different access devices and components of the placement, removal, and revision services provided for these types of devices. Therefore, from a CPT coding perspective...

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

Article Overview

This article covers a June 2004 CPT Assistant question-and-answer item in cardiovascular surgery coding. It focuses on how coding guidance changed for central venous access procedures, how a deleted CPT code is referenced in the discussion, and when modifier reporting may be requested by a payer. The piece is relevant to coders working with cardiovascular procedures, central line/access services, and CPT 2004 updates.

Why This Topic Matters

It helps readers understand the scope of a CPT update affecting cardiovascular access procedure reporting and the role of payer-specific modifier requirements.

Article Sections

  1. Coding Consultation: Questions and Answers

    A brief Q&A format addressing cardiovascular surgery coding guidance for central venous access reporting and modifier usage considerations.

What You Will Learn

  • The general topic area covered in the June 2004 CPT Assistant Q&A
  • How the article frames a CPT update affecting cardiovascular access procedures
  • Why payer requirements may be relevant to reporting certain services
  • Which broad code ranges and code sets are discussed in the article

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle staff
  • Cardiovascular surgery practices
  • Payer policy analysts

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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