tci General Surgery Coding Alert - 2002 Issue 10

Reader Question: Reporting Hyperalimentation

Question: What is the appropriate code to report hyperalimentation or TPN? The only code I can find is 99562, but it's for "in the home" and I need a code for the critical care setting. General Surgery Discussion Group ParticipantAnswer: Although you may report placement of a catheter for use during total parenteral nutrition, or TPN, (e.g., 36489, Placement of central venous catheter [subclavian, jugular, or other vein] [e.g., for central venous pressure, hyperalimentation, hemodialysis, or chemotherapy]; percutaneous, over age 2), CPT does not contain a specific code to report ongoing management of TPN patients, including coordination...

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