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help please!! - If done in an office setting

  1. #1
    Exclamation help please!! - If done in an office setting
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    If done in an office setting (I work in a radiologist office) how would the following codes be coded?:

    Chest port insertion with sedation

    Picc line insertion without sedation

    Endovenous laser ablation for varicose veins without sedation

    Tunnel valve catherization

    Please help asap! I very much appreciate it

  2. #2
    Location
    Salt Lake City
    Posts
    841
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    Chest port insertion with sedation 36560-36561

    Picc line insertion without sedation 36568-36569

    Endovenous laser ablation for varicose veins without sedation
    36478-36479
    Tunnel valve catherization
    36557-36558
    Jenifer McPolin CPC, CPMA, RCC

  3. #3
    Location
    Alexandria, LA
    Posts
    518
    Default
    Quote Originally Posted by denamfailla View Post
    If done in an office setting (I work in a radiologist office) how would the following codes be coded?:

    Chest port insertion with sedation

    Picc line insertion without sedation

    Endovenous laser ablation for varicose veins without sedation

    Tunnel valve catherization

    Please help asap! I very much appreciate it
    What do you mean when you say "tunnel valve catheterization"?

    In addition to the codes jmcpolin gave, you may use 76937 and/or 77001 if ultrasound and/or fluoro guidance is used and the requirements of those codes are met (see the code descriptions.

    36556 and 36569 do not include moderate sedation, so if the requirements are met, 99144-99145 can be coded with those.

  4. #4
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    My manager just said to me tunnel valve catherization. I'm assuming it's the usual tunneled catheter placement.

    thank you for helping

  5. #5
    Location
    Alexandria, LA
    Posts
    518
    Default
    I wouldn't assume - unless you've seen a report where they've called it that.
    This could be a tunneled pleural catheter placement (which has a valve that stops air/fluid from going back into the pleural space) - 32550

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