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Hemodialysis catheter pulled out by patient

  1. #1
    Default Hemodialysis catheter pulled out by patient
    Medical Coding Books
    Looking for some feed back. Patient pulled out the tunneled hemodialysis catheter (NO PORT WAS EVER PLACED). The physician simply replaced the tunneled catheter. Looking at CPT's 36580 or 36558. Cannot use the 36578 for catheter replacement only as it states WITH port or pump.

    Any thoughts????

  2. #2
    Default
    If it was a tunneled catheter w/o port or pump, would you not be able to use 36581 with a 52 modifier?
    Margaret, CPC

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