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tci ED Coding & Reimbursement Alert - 2005 Issue 10

You Be the Coder: Check Insert Site for PICC Code

Question: A patient presented in the ED and the physician placed a PICC line. A week later, the line became occluded and the doctor reinserted it. Can we charge for a second PICC insertion, or is the second procedure part of the global period for the original insertion? If a nurse inserts the line under the ED physician's supervision, can we charge for it?New Hampshire SubscriberAnswer: The common code for emergency department-inserted adult PICC lines - 36569 (Insertion of peripherally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older) - assumes a fresh...

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