Wiki Procedure: intravenous line placement with ultrasound guidance

[kviolet]

What CPT would you bill, see procedure note below, this was done by ED doc in ED?

Assessement & Plan:
Procedure: intravenous line placement with ultrasound guidance
Indication: difficult access, multiple failed attempts by RN
22 gauge 1.5 inch needle placed under sonographic guidance in left antecubital fossa
good blood return, flushed easily with normal saline- no resistance. Secured with tape.

ED Attending Discharge Diagnosis:
ED Diagnosis:
Acute pyelonephritis (590.10): Entered Date: 02-Jul-2015 22:12, Entered By: dr x

 

[Prasanna Subbulakshmi]

What CPT would you bill, see procedure note below, this was done by ED doc in ED?

Assessement & Plan:
Procedure: intravenous line placement with ultrasound guidance
Indication: difficult access, multiple failed attempts by RN
22 gauge 1.5 inch needle placed under sonographic guidance in left antecubital fossa
good blood return, flushed easily with normal saline- no resistance. Secured with tape.

ED Attending Discharge Diagnosis:
ED Diagnosis:
Acute pyelonephritis (590.10): Entered Date: 02-Jul-2015 22:12, Entered By: dr x

Answer
36000

 

[mitchellde]

We're fluids administered? You cannot use 36000 if IV fluids were then administered. For the ultrasound guidance you could look at 76937, although I am not sure you have enough documentation to support this code.