Wiki Are these considered central line placements?

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Quaker

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1) R femoral vein introducer placed.

2) Placement of a dual lumen temporary R femoral hemodialysis catheter placed.

Is a central line placement, CPT 36556, appropriate for these procedures referenced above?

In order to report a central line placement, MUST the provider state where the tip resides? Many times I do not see any documentation indicating where the tip of the device terminates. I see that ultrasound is used quite a bit to locate the vein, but no doc indicating where the tip of the catheter terminates.

Please help!
 
Per CPT, "to qualify as a central venous catheter or device, the tip of the catheter/device must terminate in the subclavian, brachiocephalic (innominate) or iliac veins, the superior or inferior vena cava, or the right atrium". I query if not documented, or I will accept if radiology confirms location. If tip location is not confirmed in a central vein, I default back to CPT 36000.
 
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