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PICC line placement

  1. Default PICC line placement
    Medical Coding Books

    can anybody guide me in coding this following documentation:

    The risks, benefits and alternatives to the procedure were
    explained to the patient's healthcare proxy. Health care proxy
    understood and gave informed consent. The patient was placed
    supine on the angiography table.

    Limited sonography of the right upper arm was performed
    demonstrating a patent right basilic vein. Under real time
    ultrasound guidance, the right basilic vein was punctured with a
    21 gauge needle. A 0.018 inch guidewire was inserted through the
    needle which was exchanged for a 4.5 French peel-away sheath. A 4
    French single lumen PICC catheter was inserted through the
    peel-away sheath and advanced. The catheter tip was positioned at
    the junction of the superior vena cava and the right atrium. The
    peel-away sheath was removed. The catheter was flushed with
    saline solution and secured to the skin with 3-0 prolene sutures.
    A sterile dressing was applied.

    The patient tolerated the procedure well and no complications were


    4 French single lumen Bard power peripherally inserted central
    venous catheter inserted by a right basilic vein approach.
    Catheter length is 40 cm.

  2. Default
    36568 for the PICC line and 76937 for the ultrasound guidance

  3. Default
    use code 36569 for the PICC line if the pt was older than 5 years. it didn't state the age in the original post

  4. Default
    also don't forget the 26 modifer on 76937

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