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Picc Line

  1. Default Picc Line
    Medical Coding Books
    Can you suggest me how to code this senario, brachial vein puncture venography done,basilic vein puncture, cephalic vein puncture picc line was placed.All are done in Right side only.
    Do we have to code separately or we have to code only picc line.

    Under real time ultrasound guidance, the medial right brachial
    vein was punctured with a 21 gauge needle.
    A 0.018 inch
    guidewire was inserted although the wire could not be advanced
    without resistance. Contrast injection with limited venography
    was performed demonstrating extravasation.

    An additional 8cc of intravenous contrast was administered
    peripherally on the right after which unsuccessful flouroscopic
    guided needle access was attempted in the right basilic vein.

    Ultrasound-guided right cephalic vein access was then successfully
    attempted after administration of subcutaneous lidocaine. Through
    the 21 gauge needle, a 0.018 inch guidewire was inserted. A 6
    French triple lumen power PICC SOLO catheter was inserted through
    the peel-away sheath and advanced to the chest. The catheter tip
    was positioned at the junction of the superior vena cava and the
    right atrium.

  2. Question Suggestion
    Hi mindys please give your suggestion for the above senario

    Shirley CPC, CPC-H

  3. #3
    36569: Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older

    (if the pt. is 5 or older)

    I didn't see mention of any US images being permanently recorded, so I wouldn't do the 76937.

  4. Default
    The physician has attempted in brachial vein an venography don know we will code a 36005 with PICC

  5. #5
    You would need a 59 on the injection (36005)

  6. #6

    As per documentation I go with 36569,36005-59 and 75820 for brachial and cepahalic veins respecitively,I will not code for basilic vein attempted procedure,since there is much more documentation to support to use 36005.

  7. #7
    I agree

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