PICC line flush

[francespark]

Hi! Can someone assist me in possibly billing for PICC line flushes when no other service is performed? Is there a CPT code for that and/or can I bill a 99211 if there is no specific code?

Thanks!

 

[traci.susong@gmail.com]

We had the same last week and we billed for an office visit (we are an outpatient facilty).

 

[cvinton]

PICC Line Flush Diagnosis Code

What ICD-9 code did you use for the flush.
Thanks!

 

[mitchellde]

What ICD-9 code did you use for the flush.
Thanks!

Look at attention to a vascular catheter... V58.81
also CPT code 36593

 

[traci.susong@gmail.com]

If patient comes in for flush only, we use the 36953 and V58.81 but we've also used 996.74. No E/M was charged per my previous post.

 

[mitchellde]

If patient comes in for flush only, we use the 36953 and V58.81 but we've also used 996.74. No E/M was charged per my previous post.

You would use the 996.74 code only if a complication was documented by the provider.

 

[haleymw19]

When we have patients that come in just for a PICC line flush we code 96523.

Haley Sutton CPC, CPMA

 

[mitchellde]

When we have patients that come in just for a PICC line flush we code 96523.

Haley Sutton CPC, CPMA

The two codes are very similar and I see your point, I guess it would depend on the documentation if the line were clotted use the 36953, if it is just an irrigation then use the 96523, but the 96523 is a stand alone code and cannot be billed with any other service including an E&M