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Cental Venous Catheter- code_36556

Luz Posted Thu 06th of December, 2018 15:37:08 PM
Question: Can both central Line placements be billed or just one both were done on the same day, same incision. This is what the physician did: Upon the patient's arrival provider rapidly placed a Right Internal Jugular central venous catheter upon the patients arrival for delivery of pressor for hemodialysis. After the labs , it became evident that she needed emergent CVVH. Thus, the initial line was removed and replaced with a trialysis catheter. DX: Acute renal failure. Thank You
SuperCoder Answered Fri 07th of December, 2018 07:13:36 AM

Hello Luz,

Thank you for your question.

You can report the codes twice as there are two different sessions/encounters. Since, the site of venous access is the same, but the encounters are different.

Also, the MUE of the code is 2, so this code can be reported twice in a day.

Select the appropriate code 36556 or 36558 basis your medical documentation.

 

Note: Kindly check for the tunneled or non-tunneled catheters.

 

Thanks

Luz Posted Thu 17th of January, 2019 07:45:15 AM
Thank you. One more question: Is it required to document the reason for reporting the code twice and is modifier is required and which modifier?
SuperCoder Answered Fri 18th of January, 2019 02:13:50 AM

Hello Luz,

Yes, your documentation should clearly indicate the medical necessity to report the desired code twice on the same day.

Also, append modifier-59 (Distinct Procedural Service) to the second code on claim line 2.

 

Example: If you select the code 36556, then report it as:

 36556

 36556-59

 

Thanks!

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