Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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Reader Question: Get All the Details Before Choosing a Catheter Code
Question: Our surgeon inserted a non-tunneled catheter for a three-year-old patient. How should we code the service?
SuperCoder Subscriber
Answer: The patient’s age is important when choosing a catheter code, but that’s not the only detail you need to confirm. For example, you need to know whether the catheter was peripherally or centrally inserted. The answer to that question would lead to one of the following codes:
36555 — Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age
36568 — Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or...
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