Wiki Chest x-ray for Broviac catheter placement

[amanda19791]

Is there a code for chest x-ray to confirm a position of Broviac catheter?

CHEST XRAY FINDINGS:
　　　　　LUNGS: Expiratory chest x-ray. 　The lungs are grossly clear

HEART and MEDIASTINUM: Normal and unchanged

　　　　　PLEURA: No pneumothorax or pleural effusion

　　　　　SKELETAL: Normal
​

LINES and SUPPORT DEVICES: Endotracheal tube is 2 cm above the carina. 　Left thoracotomy tube is in good position without pneumothorax. 　Percutaneous gastrostomy tube overlying the gastric outline. 　VP shunt superimposed over the right chest.

 

[unicorn80]

According to this website I found, the chest x-ray exam is included with central line placement. The chest x-ray is used to ensure that proper placement of the catheter was achieved and is always done after the central line has been placed. Assuming this coded with one code and a potential modifier if needed.

You can review this site for more information https://www.americanmedicalcoding.com/3-scenarios-code-chest-x-ray-post-central-line-placement/

 

[01510319]

As per Dr. Z guideline
Chest x-ray following CVC placement, replacement, revision, or removal is considered part of the procedure and is not separately billable. Specifically, even if CVC is placed "blinly" and a chest x-ray is ordered, it is still considered part of the procedure and cannot be billed.
If fluoroscopy is used and documented a follow up chest x-ray for “catheter tip location, R/O pneumothorax” can not be separately billed, as it isbundled into code 77001. A subsequent medically necessary chest x-ray can be billed separately, but must have a completely separate medically necessary indication unrelated to the CVC procedure