Questions about CVC catheter Insertion
I am totally confused (you can understand from the way my questions go!)
My mind is very refractory to understand;
Q1) Am I right to presume that tunneled means – with subcutaneous port / pump; non tunneled means without those. If not, how am I to know it correctly in an easy fast track?
Q2) How are we to differentiate non tunneled centrally inserted from non tunneled peripherally inserted site(entry site)
Q3). The CPT manual says: “CENTRALLY INSERTED CVC venous entry sites are- Jugular vien, Subclavian Vein, Femoral vein. The PERIPHERALLY INSERTED CVC venous sites ARE- Basilic vein, Cephalic vein”.
Can they be either way? Or, are they so selective?
If they are not so selective that way, then, how are we to select the code from peripheral from central?, when the description does not provide that?
Non tunneled from tunneled?, when neither of these descriptive terms are posted in the OP NOTES? (You know the description in the OP Notes are often not the way they are in CPT )
For eg, femoral vein is selected for. Is it central insertion site or peripheral insertion site or either of them; can it be tunneled or non tunneled. As per the CPT guide, it is central insertion site for CVC(36556). If I select a code for peripheral (36569), am I wrong?
I need to understand in a lightning speed not so refractory the way I stand now.
Anyone who could simplify the whole lot , I would really appreciate and thank you in advance
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I am totally confused (you can understand from the way my questions go!)
My mind is very refractory to understand;
Q1) Am I right to presume that tunneled means – with subcutaneous port / pump; non tunneled means without those. If not, how am I to know it correctly in an easy fast track?
Q2) How are we to differentiate non tunneled centrally inserted from non tunneled peripherally inserted site(entry site)
Q3). The CPT manual says: “CENTRALLY INSERTED CVC venous entry sites are- Jugular vien, Subclavian Vein, Femoral vein. The PERIPHERALLY INSERTED CVC venous sites ARE- Basilic vein, Cephalic vein”.
Can they be either way? Or, are they so selective?
If they are not so selective that way, then, how are we to select the code from peripheral from central?, when the description does not provide that?
Non tunneled from tunneled?, when neither of these descriptive terms are posted in the OP NOTES? (You know the description in the OP Notes are often not the way they are in CPT )
For eg, femoral vein is selected for. Is it central insertion site or peripheral insertion site or either of them; can it be tunneled or non tunneled. As per the CPT guide, it is central insertion site for CVC(36556). If I select a code for peripheral (36569), am I wrong?
I need to understand in a lightning speed not so refractory the way I stand now.
Anyone who could simplify the whole lot , I would really appreciate and thank you in advance
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