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code 36481

  1. Default code 36481
    Medical Coding Books
    We have several elderly patients that have a port a cath and we access this occasionally when they need fluids. Is this the code we use to do that? Is it bundled with ov?

  2. #2
    Milwaukee WI
    Default No !
    Here is the description of 36481 from Encoder Pro:
    The physician numbs the right lateral abdominal wall with local anesthetic. The physician places a large needle through the skin into the liver, maneuvering the needle through the liver into the intrahepatic portal vein, injecting contrast under fluoroscope for localization. The physician places a wire through the needle, retrograde into the portal vein. The physician removes the wire over the needle, and advances a catheter over the wire, through the skin and liver into the portal vein. The physician secures the catheter with suture. Alternative methods include placing a catheter via the internal jugular vein or using a transsplenic approach.

    This code is for performing the catheterization. Not for accessing the port to provide hydration.

    F Tessa Bartels, CPC, CEMC

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