AAPC - Back to school
Results 1 to 5 of 5

Thread: Tunneled cath removal

  1. #1

    Default Tunneled cath removal

    AAPC: Back to School
    A cath was inserted in June (36558) and paid by Medicare. The end of August this cath was removed (36589) and denied as already included in payment for another service. These were the only 2 services provided. I cannot find where the removal is included in the insertion code and the global days are 10 so it's well after the global period.
    Any suggestions?

  2. #2


    Were any procedures performed by a different physician/different practice? Where was this procedure performed?

  3. #3


    No, all procedures were performed by same physician.

  4. #4
    Join Date
    Apr 2007
    Cedar Rapids, Iowa

    Default tunneled catheter removal

    CPT 36558 is insertion of a tunneled central venous catheter (i.e. perm cath for dialysis). The removal of the device is included with the placement and no charges should be billed. Same for removing a feeding tube.
    Steven R. Dodson RT(R)(CV)CIRCC

  5. #5
    Join Date
    Apr 2007
    Alexandria, LA


    In the case of a tunneled catheter, the removal is NOT included. There is a separate code as the original poster noted. Removal of a non-tunneled catheter is not separately billed, but removal of a tunneled cath requires more work and so was valued separately.

Similar Threads

  1. extremity veno w/ tunneled cath insertion?
    By ttglasscock in forum Interventional Radiology
    Replies: 2
    Last Post: 12-30-2014, 01:45 PM
  2. Tunneled cath via saphenous vein
    By margaret fahy in forum Interventional Radiology
    Replies: 3
    Last Post: 08-26-2014, 11:51 AM
  3. Tunneled cath exchange
    By stgregor in forum Interventional Radiology
    Replies: 2
    Last Post: 01-19-2011, 06:44 AM
  4. TLC non tunneled cath removal
    By dalley in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 01-18-2010, 09:27 AM
  5. Non-tunneled dialysis cath
    By adi in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-12-2008, 08:43 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.