tci General Surgery Coding Alert - 2004 Issue 1

Reader Question: Choose 76000 for Catheter Placement

Question: What is the correct fluoroscopy code for catheter placement - 76000 or 76003? Illinois Subscriber Answer: To adjust or confirm appropriate placement of a catheter or other device (IV port, pacemaker, etc.), you should select 76000 (Fluoroscopy [separate procedure], up to one hour physician time, other than 71023 or 71034 [e.g., cardiac fluoroscopy]). But if the surgeon provides formal contrast x-ray studies as a part of the procedure to produce films with written interpretation and report, the fluoroscopy is already included, and you cannot bill separately for it. Code 76003 (Fluoroscopic guidance for needle placement...

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