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Diagnois For Central Lines, Replacement Tubing

  1. Question Diagnois For Central Lines, Replacement Tubing
    Medical Coding Books
    I WORK FOR RADIOLOGY AND WE HAVE BEEN TRYING TO CODE
    FOR CHEST XRAYS FOR CENTRAL LINES, NG TUBING AS THE DIAGNOIS PART
    BUT IT KEEPS GETTING KICKED OUT. THE ONLY THING WE CAN FIND IS
    IN THE HCPCS BOOK UNDER NG TUBING BUT THIS ISN'T A DIAGNOIS.

    DOES ANYONE KNOW THE RIGHT DIAGNOIS CODE FOR THIS. THE REPORTS ONLY MENTIONS DOING THESE PROCEDURES TO MAKE SURE THE TUBING IS IN THE RIGHT POSITION. THE CPT CODE IS 71010 OR 71020
    THANKS KBLEVINS

  2. Default
    Hi. I code for a radiology group as well. When we code for x-rays to check placement of tubes, we use the diagnosis why the tube was needed.
    For example, Respiratory distress for intubation or cancer for a central line.
    Make sense? I typically use V58.8x depending on the type that was done, as a secondary dx..
    Hope that helps.
    Heidi

  3. Default
    Quote Originally Posted by heiditipherwell View Post
    Hi. I code for a radiology group as well. When we code for x-rays to check placement of tubes, we use the diagnosis why the tube was needed.
    For example, Respiratory distress for intubation or cancer for a central line.
    Make sense? I typically use V58.8x depending on the type that was done, as a secondary dx..
    Hope that helps.
    Heidi
    THANKS HEIDI THIS DOES HELP ON SOME OF THEM BUT MOST OF THE TIME IT COMES THROUGH WITHOUT A DIAGNOIS OR REASON. IT WILL STATE LIKE
    REPLACEMENT OF TUBING OR CENTRAL LINE. I GUESS WE WILL HAVE TO
    GO BACK AND SEARCH FOR MORE INFO. WHICH AS YOU KNOW THIS IS VERY TIME CONSUMING. THANKS AGAIN THIS WILL HELP
    KAREN

  4. Default
    Karen
    You may also need to look into the Complication codes for a DX. Many times the tubes do not operate properly or have a mechanical problem or even may develop an infection. So unfortunately, yes you do need more info.
    Good luck.
    Heidi

  5. Default
    Thanks Hiedi This Will Help!!!
    Karen

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