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PICC line confirmed with ECG

Date: Jan 21, 2019

Question:

I have a question about the changes to 36569 for 2019. I understand the PICC line placement does not need image guidance for placement, but doesn't it still require a permanent image (i.e., CXR) to confirm the catheter tip is in a proper central vein/right atrium? We have a note where the PICC nurse inserted the line and stated the CXR was not needed "as tip is confirmed in lower SVC per ECG technology - maximum P wave and absence of negative deflection". Is the ECG enough for 36569? If not, how would we code this: 36140 or 37799?

Question ID : 11954
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