tci General Surgery Coding Alert - 2016 Issue 3

Reader Question: Age, Tunneling, and More Determine Catheter Code

Question: Our surgeon inserted a non-tunneled catheter for a three-year-old patient. How should we code the service? SuperCoder Subscriber Answer: You don’t provide enough information for a definitive answer. For instance, is the tunneled catheter peripherally or centrally inserted? The answer to that question would lead to one of the following codes: 36555 — Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age 36568 — Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; younger than 5 years of age Tip: You need to know the following information to...

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