Reader Question:
Don't Charge Separately for CVC Removal
Published on Wed Oct 08, 2003
Question: How can I get paid for removal of a central venous catheter (CVC)?
Nevada Subscriber Answer: CPT does not include a code for removal of a CVC. Rather, removal is included in the placement code and you cannot report it separately. If the surgeon examines the patient and performs the components of an E/M service during the same session, however, you may claim the appropriate E/M service code.
In the unusual case that an embedded catheter has been in place for a long time and the surgeon must expend extensive effort to remove the catheter due to scar tissue, the AMA recommends reporting 37799 (Unlisted procedure, vascular surgery) to recoup some reimbursement. Documentation should clearly demonstrate the unusual nature of the removal to substantiate billing.
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