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Thread: Unsuccessful Picc Placement

  1. #1

    Exclamation Unsuccessful Picc Placement

    AAPC: Back to School
    The report reads as follows:

    Clinical History: Decompensated Congestive Heart Failure

    The Report:
    Ultrasonographic and flouroscopic imaging were performed in attempt for PICC line placement through the right arm venous approach. This was unsuccessful.

    Impression: Unsuccessful PICC line placement

    Question: The RN reviewed and electronically signed the report....my question is can we bill for this since the radiologist did not dictate or sign the report (only the RN). If so how do I bill this type of PICC line placement if any?

  2. #2
    Join Date
    Apr 2007
    Louisville, KY


    I'm guessing here: you're coding for pro fees?

    If so, then you have nothing to code; the provider has not verified or signed that any service was performed.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3


    Thanks Kev,

    This is what I new in the beginning but we have RN auditors who seem to think otherwise. In this case had it been that the physician did sign the report, how would this unsuccessful been coded?

    Thanks so much,


  4. #4
    Join Date
    Apr 2007


    you can code it with a 53 mod, but I don't know if you get paid for it or not. we usually only charge it that way to show that there was an attempt at a procedure for record purposes.

  5. #5


    Thank you

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