Wiki PICC insertion

[jules0024]

Hi
We have a PICC nurse team that goes around to the observation & inpatient patients and puts in their PICC lines. Does anyone charge for this? What revenue code do you use? Are you getting reimbursed or receiving denials?

Thank you
Julie

 

[OpenClaims]

This is not something I have personally billing for, but with a bit of research, it seems some facilities do not charge for PIC procedures done by nursing at bedside on an inpatient as the nursing services are captured by the room and board charge.
If the nurse does the PICC in one of the designated treatment rooms rather than at the bedside, the charge is under revenue code 761. PICC placements by nursing for observation or other outpatients are usually charged under revenue code 761.
Some facilities are using a Physician Assistant to do bedside PICC placements for inpatients, and those are charged with revenue code 361.
If it is a floor nurse, then the inpatient Medicare revenue code should be 0230 to enable better matching of expense to revenue in the Medicare Cost Report. For commercial and other payers that do not use cost report, either 0761 as suggested or 0940 are two good options. So, if it is a separate ancillary department with nurses that round, then the revenue code on all types of accounts should be 0761 or 0940.
Most seem to use rev code 761. They have a separate PICC team that would provide this service and they consider this service as Non-routine for they typical Inpatient. As such, they do not consider it part of routine room/board.
Let me know how this pans out for you. Thank you.