Picc Line Placement---

[cfrantz]

OK---WHAT IS THE CODE FOR A PICC LINE PLACEMENT--???? THIS IS FOR AN ASC----(HOPE I SPELLED THIS RIGHT!!!)

[MLS2]

36569: Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older

is that what you need?

[cfrantz]

Thank You, Very Much----I Do Believe This Is It --- This Patient Has A History Of Bladder Infection, And Is To Undergo Antibiotic Therapy For Six Weeks----

Thanks, Again----

[MLS2]

There's also a code if the pt. is under age 5 (36568). You can also use 77001 if fluoroscopic guidance was used and 76937 if US guidance was used and if a permanent image of the US was recorded and saved.

[Geralyn39]

On this topic, can you bill for an unsuccessful PICC line insertion?

[mbort]

yes you can Geralynn, with the appropriate modifier & documentation of course.

[Geralyn39]

Thank you!

[fami]

Hello All,
How about the chest x-ray if it is done with PICC. do we code separately? CCI edit says you can but you have to add modifier -59 to chest x-ray but we are not getting paid for the chest x-ray only payment is for code 36556.
If we do not get paid, what is the point to add modifier -59 to chest x-ray code.
Thanks,
This is for facility charges.
Fami

[Lavanna]

How about if the physician owns the ultrasound equipment and performs PICC lines in long term care facilities?

[phycoder]

There is a debate in our office over the diagnosis code for a PICC line placement and a VAD placement. Would they both be coded as a V58.81??