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Placement of Quniton Catheter

  1. #1
    St. Louis, Missouri
    Default Placement of Quniton Catheter
    Medical Coding Books
    Can someone please help me out with this. I get really confused when it comes to venous catheterization vs hemodialysis access. Is there an easy way to figure these out??? Operative note reads...

    Preoperative diagnosis: Renal Failure
    Postoperative diagnosis: Renal Failure
    Procedure: Placement of a Quinton Catheter in the right IJ

    Description of Procedure: The patient was placed in a recumbent position. The patient was sterilely prepped and draped of the patient's right neck, we then accessed the internal jugular vein using a 22-guage needle and then adjacent to this, placed a large bore needle 18-gauge needle and passing wire through this and then dilated over the wire. Then placed a Quinton catheter over the wire. We then aspiated both ports, flushed with normal saline, and then sutured in place. Dressings were Applied. The patient tolerated the procedure well.

    I am sure I am making this harder than it is. I would appreciate any help I can get. Thanks.

    Melissa Blow, CPC

  2. Default Quinton Catheter
    Hi Melissa,

    We use code 36800 for placement of a Quinton Catheter. Hope this helps!


  3. #3
    St. Louis, Missouri
    Do you use this same code for an Ash Catheter placement for dialysis?

    Melissa Blow, CPC

  4. Default
    Actually code 36800 is for a cannula which is usually placed in the forearm. After reading the OP report, the correct code set you would be looking for is the Central Venous catheter codes 36555-36561 because the access site is the internal Jugular vein

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