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Cuteyr

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Hi,

The report says that
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The RT IJ vein was punctured and sheath was placed in the RT IJ vein and a subcutaneous tunnel was created in the right anterior chest wall with lidocaine and a tunneled cuffed catheter was placed in the subcutaneous tunnel and inserted through the peel-away sheath and both tips were placed at the junction of the SVC and Rt atrium.
The catheter was secured to the skin and both ports were flushed with heparin.

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Please advice and explain if 36561 or 36558 should be coded?

Thanks
 
The following is in part, a query sent to 3m:

. This similar procedure was addressed in AMA?CPT Assistant, December 2009 Page: 11 where they stated how; "it is not procedurally possible to insert a catheter with a port attached in a manner that is NOT tunneled." Code 36560/36561 would be reported in this case.

Hope this clarifies!
 
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