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PICC exchange which ends in axillary vein

  1. Default PICC exchange which ends in axillary vein
    Medical Coding Books
    Hello:

    How to code the PICC exchange which ends in axillary vein
    can we code it as 36584 or 36011
    The left upper arm and external portion of the catheter were
    prepped and draped in the usual sterile manner. The skin and
    subcutaneous tissues were infiltrated with local lidocaine. A
    wire was advanced through the PICC and exchange was made for a new
    4-French single lumen PICC. The catheter was cut to 22 cm and
    advanced centrally. The tip of the catheter is in the region of
    the axillary vein. The catheter was flushed with saline and
    secured to the skin with 30 Prolene. A sterile dressing was
    applied.

    The patient tolerated the procedure well and left the department
    in stable condition. No immediate complications.

    Impression:
    Successful exchange for a new 4-French single lumen PICC via the
    left brachial vein. Catheter is 22 cm long with tip in the region
    of the axillary vein. Catheter may be used for power injections.

  2. Default
    The latest information from RBMA is that if it stops short of being central they you must code the PICC exchange with a 52 modifier.

    Diane Huston, CPC,RCC

  3. Default
    Thankyou this helps.....

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