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cpt code 36589 can this be billed during a global period

Melissa Posted Wed 26th of August, 2015 13:41:31 PM

The physician states that he did not place the groshong catheter, but when his ESRD pt's return to him after the creation of a fistula, he removed the groshong that was placed by the radiologist because it is life threatening for these to remain in. Is this billable for him and does these meet the criteria of a complication? Is a modifier needed?

SuperCoder Answered Thu 27th of August, 2015 08:53:51 AM

Well, it is necessary to be removed as it can be a complication for the patient. It is billable and yes it meet the criteria of complication. For the most part, Groshong catheters are tunneled, so assuming that, the correct code representing the procedure is CPT code 36589. The physician would remove a non–tunneled Groshong catheter just like an IV or a central line. Non–tunneled removal, therefore, does not require an anesthetic, so you would not report the service for anesthesia. Hope it helps!

SuperCoder Answered Thu 27th of August, 2015 09:16:32 AM

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