Cardiology Coding Alert
Double Check 36005 With 36569
Question: When venography, angioplasty, and stenting precede PICC placement, may I override the edit for 36005 and 36569?
Answer: The Correct Coding Initiative bundles 36005 into 36569:
· 36005, Injection procedure for extremity venography (including introduction of needle or intracatheter)
· 36569, Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump age 5 years or older.
Experts advise that because 36005 is a catheter placement code, it is rolled into the payment for the interventional services (which require the same level of catheterization) performed at the same session, and recommend that you should not report 36005 separately.
Bonus tip: If documentation reflects that the venography was diagnostic in nature, and not just road-mapping, you may report the appropriate radiological supervision and interpretation code for that service, such as 75820 (Venography, extremity, unilateral, radiological supervision and interpretation). Note that reporting diagnostic venography with 36569 is fairly rare, and you may need a modifier on the venography code depending on payer edits.
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Cardiology Coding Alert
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Double Check 36005 With 36569
Question: When venography, angioplasty, and stenting precede PICC placement, may I override the edit for [...]
