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Picc

  1. Default Picc
    Medical Coding Books
    Procedure and findings: After obtaining informed consent, the
    patient was placed supine on the fluoroscopic table and the right
    arm was prepped and draped in a sterile fashion. Ultrasound
    imaging of the upper arm demonstrated patency of the right basilic
    and brachial veins. The brachial vein was then accessed above the
    elbow using a 21 gauge micropuncture needle. A 0.0018 inch
    guidewire was advanced through the needle and into the vein. The
    needle was removed and exchanged for a peel-away sheath. A PICC
    line was cut to 20 cm length, advanced through the peel-away
    sheath and positioned with the tip at the junction of the superior
    vena cava and right atrium. The peel away sheath was then removed.
    The catheter was sutured into place using 2 4-0 Ethilon sutures.
    Each catheter port was aspirated and flushed with heparinized
    saline solution. A sterile dressing was applied. A supine
    radiograph of the chest was performed demonstrating distal
    catheter tip overlying the junction of the superior vena cava and
    right atrium.

    CPT CODES:
    36571 OR 36569

    Thanks
    Shirley

  2. #2
    Location
    Quincy, MA
    Posts
    62
    Default
    Since I don't see any mention of a subcutaneous pocket being created for a port I would go with 36569.
    Leanne, CPC
    General/Vascular Surgery

  3. #3
    Location
    Columbus, Ohio
    Posts
    14
    Default
    The ports mentioned in this report are the openings of the catheter's (PICC line) through which the drug will be administered manually at fixed times.
    The 36571 would be used only when there is mention of the port being guided and sutured under the skin. A port for 36571 is an extra box placed under the skin through which the catheter is wired. The port for 36571 is where the medication is stored to be delivered at fixed intervals into the blood stream.

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