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Thread: tube placement check

  1. #1

    Default tube placement check

    AAPC: Back to School
    I am having trouble finding a ICD-9 code for a chest xray. A GI or NG tube or PICC line has been placed in the patient and they want to make sure its in correctly.
    Any help would be appreciated.

  2. #2
    Join Date
    Apr 2007
    Amarillo Texas Chapter

    Thumbs up ICD for tube placement check

    I guess there are two ICD-9-CM codes that would suit this scenario.

    1)V58.82 - Fitting and adjustment of non-vascualr catheter NEC. This code can be used as the first listed diagnosis.

    2) V53.5 - Fitting and adjustment of intestinal device. This code can be used instead of V58.82. This code too can be used as a principal diagnosis.

    Either of these two codes can be billed with ur postioning check exam. You might need to check the LMRP of that area for the particular CPT code and choose your ICD.

    I hope this would help
    Last edited by kusuma; 11-30-2009 at 03:38 AM.

  3. #3
    Join Date
    Apr 2007
    Nashville AAPC Chapter

    Default ICD tube placement check

    What was the reason for placing the tube? GI bleed or what? I would code the reason for placing the tube first, to cover any potential denials by insurance.

    Some insurances (Medicaid) deny if you use a vcode first.

  4. #4

    Red face

    Thanks so much. we will try it. I do try to code underlying reason first, but we don't always get it.

  5. #5
    Join Date
    Apr 2007
    Indianapolis Chapter

    Default Radiology Coding Guru

    Is there a person or persons who have written a medical policy regarding Radiology Issues? I am having difficulties finding info regarding the coding of chest x-rays for PICC Placement. I know that V58.81 is a good code, but I need to find a reputable person who has said this is an acceptable coding method.
    Last edited by moniqueb; 07-09-2012 at 07:42 AM.
    Monique F. Ballinger, CPC

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