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Wiki Canceled LHC, coded as Central Line Placement Thoughts?

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Chlrtrep

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I would like you thoughts regarding this op report. the staff have charged/coded this as a central line placement. The patient was brought into lab for a cath, physician canceled cath. A standard 6 French sheath was inserted (no other supply) into femoral vein for IV fluids and dopamine. This was charge/coded as a non tunnel CVC (Cpt code 36556) or is this just a venous cath placement (36000)?

Op report. Appreciate your thoughts?

INDICATION FOR PROCEDURE: Shock, hypotensive patient.
*
The patient is an gentleman who was initially brought in for a
STEMI. However, the patient was noted to have a hemoglobin . The patient became more
responsive after D50, and because of the above labs, and the patient
complaining of no chest pain or shortness of breath, we decided not to
proceed with coronary angiogram but placed a central line to give the
patient IV fluids and dopamine.
*
The central line was placed in the right femoral vein. There was no
immediate complication. The patient tolerated the whole procedure well. A *
6-
French sheath was used for the central line placement after 1% lidocaine
was given in the right femoral area.
 
Chlrtrep said:
I would like you thoughts regarding this op report. the staff have charged/coded this as a central line placement. The patient was brought into lab for a cath, physician canceled cath. A standard 6 French sheath was inserted (no other supply) into femoral vein for IV fluids and dopamine. This was charge/coded as a non tunnel CVC (Cpt code 36556) or is this just a venous cath placement (36000)?

Op report. Appreciate your thoughts?

INDICATION FOR PROCEDURE: Shock, hypotensive patient.
*
The patient is an gentleman who was initially brought in for a
STEMI. However, the patient was noted to have a hemoglobin . The patient became more
responsive after D50, and because of the above labs, and the patient
complaining of no chest pain or shortness of breath, we decided not to
proceed with coronary angiogram but placed a central line to give the
patient IV fluids and dopamine.
*
The central line was placed in the right femoral vein. There was no
immediate complication. The patient tolerated the whole procedure well. A *
6-
French sheath was used for the central line placement after 1% lidocaine
was given in the right femoral area.
Click to expand...

I would do 36556 for the central line.
HTH,
Jim Pawloski, CIRCC
 
Thanks for the reply Jim. So although this was just a standard 6 Fr sheath placement that you would use for a LHC it still qualifies for CPT code 36556.
 
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