tci General Surgery Coding Alert - 2019 Issue 6

Reader Question: Identify Site For Line Procedure Coding

Question: I have an op report that documents a central line, arterial line, and a Swan-Ganz catheter. Can we report three separate procedures, or are there some bundling issues I need to be aware of? Wisconsin Subscriber Answer: You can bill the arterial line as 36620 (Arterial catheterization or cannulation for sampling, monitoring, or transfusion [separate procedure]; percutaneous). The Swan-Ganz (93503, Insertion and placement of flow directed catheter [e.g., Swan-Ganz] for monitoring purposes) includes the central line (36556, Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older) fee when your surgeon uses both. You...

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