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tube placement check

  1. Default tube placement check
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    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
    Location
    Amarillo Texas Chapter
    Posts
    12
    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 04:38 AM.

  3. #3
    Location
    Nashville AAPC Chapter
    Posts
    937
    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. 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
    Location
    Indianapolis Chapter
    Posts
    3
    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 08:42 AM.
    Monique F. Ballinger, CPC

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