tci General Surgery Coding Alert - 2003 Issue 12

Reader Question: Don't Charge Separately for CVC Removal

Question: How can I get paid for removal of a central venous catheter (CVC)?Nevada Subscriber Answer: CPT does not include a code for removal of a CVC. Rather, removal is included in the placement code and you cannot report it separately. If the surgeon examines the patient and performs the components of an E/M service during the same session, however, you may claim the appropriate E/M service code. In the unusual case that an embedded catheter has been in place for a long time and the surgeon must expend extensive effort to remove the catheter due to...

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