tci General Surgery Coding Alert - 2021 Issue Q1

You Be the Coder: Beware Swan-Ganz Bundles

Question: Our surgeon performed a Swan-Ganz procedure, placed a central line through the same incision, and also placed an arterial line. How should we code these three procedures? Florida Subscriber Answer: Although you describe three procedures, you should report just two, in this case. Report the Swan-Ganz (93503, Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes) and the arterial line (36620, Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous). When your surgeon uses both a central line and a Swan-Ganz, the central line placement (36556, Insertion of non-tunneled centrally inserted central...

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