Cardiology Coding Alert

Question: If documentation refers to a "PICC" line terminating in the subclavian, should I code it as a centrally inserted catheter because the subclavian is central?South Dakota SubscriberAnswer: No. "Inserted" refers to the access point (where the catheter enters the vascular system) rather than the termination point. If the documentation is correct that the procedure involved a PICC (peripherally inserted central venous catheter) line, you should see access from a vein such as the basilic or cephalic vein, according to CPT guidelines. For a peripherally inserted device, look to 36568-36569 (Insertion of peripherally inserted central venous catheter [PICC], without subcutaneous port or pump...) and 36570-36571 (Insertion of peripherally inserted centrally venous access device, with subcutaneous port ...).In contrast: To be a central insertion, the access site must be in a vessel close to the central circulatory system, usually the jugular, subclavian, or femoral vein -- or sometimes the inferior vena cava. [...]