tci General Surgery Coding Alert - 2013 Issue 11

Reader Question: Check Circumstances for Edit Override

Question:  When our vascular surgeon performs angioplasty, venography and stenting prior to placing a PICC line, is it appropriate to override the 36005/36569 edit? SuperCoder.com Subscriber Answer: You are correct that the Correct Coding Initiative (CCI) bundles 36005 (Injection procedure for extremity venography [including introduction of needle or intracatheter]) into 36569(Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump age 5 years or older). Experts advise that because 36005 is a catheter placement code, it is rolled into the payment for the interventional services (which require the same level of catheterization) performed at the...

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