Wiki CVP Line Operative Note--what diagnosis is appropraite?

[tfischer]

I work with a hospitalist group, and they do a lot of Insertions of Non-tunneled Centrally inserted Central Venous Catheter (36556). Of course, we have to find an allowed diagnosis to use for the procedure, and we only pull from the documentation. Unfortunately, sometimes the physician only gives us Lack of IV access. So, I have been using the 459.81, Venous insufficiency, as the allowed diagnosis code.

Can anyone tell me if this is being done appropriately?

 

[LeslieJ]

CVP Line Operative Note--what diagnosis is appropriate?

Venous insufficiency is a disease process. 459.81 is not the correct Dx code for insertion of CVP. Doc needs to give you the condition of the patient so you can code appropriately.

L J