tci General Surgery Coding Alert - 2002 Issue 9

Vascular Coding Part 1: Dont Get Stuck When Reporting Central Venous Catheter Procedures

Coding for vascular access can be complicated by varied and superfluous terminology, while reporting the associated fluoroscopy depends on seemingly inconsistent CMS and CPT guidelines. If you understand the terminology involved and heed payers' advice, your claims submission will proceed much more smoothly.The Heart of the Matter Codes 36488-36491 describe placement of a central venous catheter (CVC or, in some cases, simply CV). Although central lines are frequently associated with a particular brand name, e.g., Triple Lumen, Quad-cath, "You cannot code on the basis of a brand name of the catheter," says Jan Rasmussen, CPC, president...

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