tci Outpatient Facility Coding Alert - 2018 Issue 6

Reader Question: Remember to Code Separately for PICC, Fluoroscopy

Question: How do I code for a peripherally inserted central venous catheter (PICC) line placement with fluoroscopic guidance for a 75-year-old patient with a bladder infection? The patient is undergoing antibiotic therapy for the next six weeks. May I still bill if the line placement is unsuccessful? Answer: To code for the insertion of a PICC, you should report code 36569 (Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older) since the patient is above 5 years of age. You may also code separately for the fluoroscopic guidance using code...

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