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PICC line exchange vs midline insertion
Date: Oct 21, 2019
Question:
"The patient's right arm PICC was removed over a .018 wire. A new PICC was placed; however, it was not able to enter SVC. This was exchanged for a midline; however, there was no blood return. Subsequently the left arm was prepped, an image with ultrasound was obtained, and an attempt at PICC line insertion was unsuccessful. In turn a 3" midline was placed with good blood return." My question is, should we charge PICC exchange with a modifier (36584-52) or mIdline placement (36140)?
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