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What diagnosis to use for 36556?

  1. #1
    Default What diagnosis to use for 36556?
    Medical Coding Books
    I work with a hospitalist group, and they do a lot of Insertions of Non-tunneled Centrally inserted Central Venous Catheter (36556). Of course, we have to find an allowed diagnosis to use for the procedure, and we only pull from the documentation. Unfortunately, sometimes the physician only gives us Lack of IV access. So, I have been using the 459.81, Venous insufficiency, as the allowed diagnosis code.

    Can anyone tell me if this is being done appropriately?
    Tiffany Fischer, CPC, CEMC

  2. #2
    Location
    Casper, Wyoming
    Posts
    29
    Default
    How about V58.81? Fitting and adjustment of vascular catheter.

  3. #3
    Default Diagnosis for 36556
    That is not the diagnosis the physician is using in the documentation, so No, I would not use that code. Thanks for your advice.

    The physician is using Lack of IV access for the diagnosis, so I am reporting 459.81 for venous insufficiency. Is this appropriate?
    Tiffany Fischer, CPC, CEMC

  4. #4
    Default
    Quote Originally Posted by tfischer4 View Post
    That is not the diagnosis the physician is using in the documentation, so No, I would not use that code. Thanks for your advice.

    The physician is using Lack of IV access for the diagnosis, so I am reporting 459.81 for venous insufficiency. Is this appropriate?
    I am agree with rjburd68 beacuse the reasion for intervention is to gain acess in the CVS so V58.81 is the correct code and 459.81 not going to support that documentation as lack of IV access. Also we need to look in patients hosipital documentation and as per his/her medical history we need to code that codition as secondary diagnosis.

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