CPT Knowledgebase - Jun 15, 2015

The physician presents to a 5 year old patients bedside with the intent to perform an insertion of a peripherally inserted central venous catheter (PICC line) to administer medications and intravenous fluids. Upon the physicians discussion with the patient and her parents, the patient was unable to move from the chair to the bed for the procedure due to bilateral knee and diffuse joint pain. An IV line was placed using ultrasound guidance by the physician. May this be reported with code 36569, Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older, with modifier 52, Reduced services, appended? Also, may E/M code 99231, Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; a problem focused ex-amination; medical decision making that is straightforward or of low complexity, be reported in addition?

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