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36569 vs 36558

Date: Oct 14, 2011

Question:

Hello Dr.Z, Hope you are doing well with good health. It would be great if you solve the coding issue on tunneled peripheral vein PICC placements. We have been coding 36569 for the reports stating tunneled catheter placement through the peripheral veins(brachial/axillary) and I believe that there is no separate code for tunneled PICC lines. Our physician states that it should be 36558 and it depends on termination point (SVC/IVC/subclavian) not by the access points & he has been placing the PICC's by tunneling. Kindly clarify asap... Regards Prabhavathi, India

Question ID : 3275
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