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Picc line insert

  1. Default Picc line insert
    Medical Coding Books
    Hi!! For a PICC line Insert, if you use 76937 for the US Guidance it states "with permanent recording and reporting"...what if you are using an US that does not make a permanent recording (picture)?? Does anyone use 76942 in that instance?? Thanks!!!

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    Hi, when I code for PICC lines, I use 76942,26 and 59 modifier.

  3. #3
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    Quote Originally Posted by susan jaynes View Post
    hi!! For a picc line insert, if you use 76937 for the us guidance it states "with permanent recording and reporting"...what if you are using an us that does not make a permanent recording (picture)?? Does anyone use 76942 in that instance?? Thanks!!!
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  4. #4
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    76942 also requires permanent images. Check guidelines for Diagnostic US in the CPT. I would not code either one.

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    Quote Originally Posted by Susan Jaynes View Post
    Hi!! For a PICC line Insert, if you use 76937 for the US Guidance it states "with permanent recording and reporting"...what if you are using an US that does not make a permanent recording (picture)?? Does anyone use 76942 in that instance?? Thanks!!!
    Guidance is considered a component of placement of a PICC or Central line. The code 76937 can be coded separately when the requirements of that code are met, ie a permanent image is recorded and reported, vessel patancy documented etc.

    76942 is a guidance procedure but also requires a permanent image. However, it is a component of above procedures and should not be separately billed. per cci edits.

    HTH
    Last edited by dpeoples; 02-04-2010 at 11:00 AM. Reason: correcting false information
    Danny L. Peoples
    CIRCC,CPC

  6. #6
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    If you read towards the bottom of that whole paragragh under the diagnostic US guidelines, it says Ultrasound guidance procedures also require permanently recorded images of the site be localized, as well as a documented description of the localization process, either separately or within the report of the procedure for wich the guidance is utilized. However I do agree that 76942 is a component of the picc procedure. Danny if i'm dead wrong please correct my thinking. Thanks Denise

  7. #7
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    Quote Originally Posted by dlb_2000 View Post
    If you read towards the bottom of that whole paragragh under the diagnostic US guidelines, it says Ultrasound guidance procedures also require permanently recorded images of the site be localized, as well as a documented description of the localization process, either separately or within the report of the procedure for wich the guidance is utilized. However I do agree that 76942 is a component of the picc procedure. Danny if i'm dead wrong please correct my thinking. Thanks Denise
    You are correct, I have been coding radiolgy for years and had never seen that. I will edit my response. Thanks.
    Danny L. Peoples
    CIRCC,CPC

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