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Thread: perma cath removal

  1. #1
    Join Date
    Apr 2007
    Las Vegas

    Default perma cath removal

    AAPC: Back to School
    if a pt comes in to see a renal surgeon while in the global of having a AV Fistula put in, can you bill for the perma cath removal? what's in the surgical package for the insertion of a perma cath?

    Malama pono,

    Sundae Yomes

  2. #2
    Join Date
    Apr 2007
    Louisville, KY


    There is no global concept for the Perma-cath insertion. Any service subsequent to the initial can be coded separately.

    Good luck!
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3


    Actually there is a 10 day global with a tunnelled cath. then there is a 90 day global on the creation of fistula. If the removal falls into either global I will bill with a 58 modifier it is implied that it is a staged procedure. Hope this helps.

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