Results 1 to 2 of 2

help w/removal/replacement catheter

  1. #1
    Default help w/removal/replacement catheter
    Medical Coding Books
    I have a question on this patient chart and how to code it. I did 36589, 36581, 77001 with DX of 996.1. Is this right? Or do I code 36558 with 77001 bc of the 2nd chest incision/site?? I know if it's a device- port or pump, you can bill for both removal and replacement but what about the catheter? The guidelines say "use the code describing the service with a frequency of two"- I have not a clue what that means. ( I apologize for the report- they use the speech recognition so it doesn't always make sense...)

    Procedure: Removal and Placement of new right internal jugular hemodialysis catheter.

    ... the catheter and right chest were prepped and overlying the felt cuff on the indwelling catheter was incised...the cuff was dissected out freeing the catheter. skin was incised at the internal jugular insertion port. The catheter was transected proximal to the cuff and the distal end of the catheter was removed. The catheter end was brought out through the IJ insertion site skin incision and intubated with .035 guidewire. Guidewire was passed under fluoroscopy into the inferior vena cava and the remaining catheter segment was removed. Counter incision was made on the chest and a 2nd counter incision was made in the supraclavicular fossa. A tunneled hemodialysis catheter was subcutaneously tunneled up through the counter incisions till the wire insertion site. The dilator and sheath were inserted over the wire. The wire and dilator were removed. The catheter tip was inserted through peel away sheath and positioned over at the SVC atrial junction as the peel away sheath was removed. The catheter was flushed...and incisions were closed...

    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

  2. #2

    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

Similar Threads

  1. Replies: 0
    Last Post: 11-05-2015, 08:52 AM
  2. Replacement of Hemodialysis Catheter
    By fredcpc in forum Hematology/Oncology
    Replies: 0
    Last Post: 12-12-2012, 03:21 PM
  3. dialysis catheter removal/ replacement
    By herrera4 in forum General Surgery
    Replies: 0
    Last Post: 11-24-2010, 08:55 AM
  4. Replies: 1
    Last Post: 03-03-2010, 06:19 PM
  5. Suprapubic Catheter Replacement-cpt?
    By jbtrueba in forum Emergency Department
    Replies: 3
    Last Post: 12-26-2008, 02:15 PM

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.