How is the following interventional procedure reported? The patient is dialysis dependent, has end-stage renal disease, and has difficulty draining the peritoneal dialysis catheter. The patient presents to the facility for interventional radiology fluoroscopic guided injection and manipulation of a peritoneal dialysis catheter. Contrast material is injected into the catheter and the catheter manipulated. A guidewire with a deflector type catheter is inserted to move the distal curl of the catheter from its midline position to a new position. ...

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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 premium article explains how a peritoneal dialysis catheter manipulation case is reported in a facility-based interventional radiology setting. It reviews the general reporting approach for catheter-related imaging and manipulation services, discusses the role of unlisted procedure coding when no specific CPT code is available, and addresses when common modifiers may be considered for professional billing. The content is aimed at coders, billers, and revenue cycle staff working with dialysis access, interventional radiology, and surgical coding.

Why This Topic Matters

Peritoneal dialysis catheter procedures can involve multiple components that are not always captured by a single standard code. Understanding the article helps readers recognize how the imaging, manipulation, and unlisted portions of the service are discussed in coding guidance.

Codes Discussed

• CPT: 49400
• CPT: 74190
• CPT: 49999

Modifiers Discussed

• CPT: 26
• CPT: 59

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