Your new 2019 CPT® manual contains a lot of changes to the peripherally inserted central venous catheter (PICC) codes and guidelines. But if you code for a provider who has received PICC certification, you don’t have to get overwhelmed. We’ve added up all the major 2019 CPT® code updates for you, including all the guidelines you need, to help make your PICC claims count in the New Year. A quick stroll through five key points will ensure your claims are clean and reimbursable.
CPT® revised the introduction to the central venous access procedures section to add a third peripheral insertion site for venous access. In addition to basilic and cephalic vein entry sites, you can now look for the saphenous vein as an entry site in your provider’s documentation.
You’ll find that CPT® has added two new image-guided PICC insertion codes that bundle together the insertion, guidance, documentation, and interpretation, as follows:
But before you use them, read the updated CPT® coding guidelines 2019 in point four below to make sure you know exactly what kind of imaging they describe.
Like the new codes, the revised codes also spell out the role of imaging guidance in the respective procedures. The revised text is in bold below for easy identification:
Unsurprisingly, the first three clarify guidance issues, though the last one shouldn’t be overlooked:
No, this hasn’t changed — it’s still set at under five years and over five years for each of the PICC code pairs. But it’s still a good idea to pay attention to the age parameters with the new pair of 36572 and 36573 as well as the centrally inserted catheter code pairs 36555/36556, 36557/36558, 36560/36561 and the peripherally inserted catheter code pairs 36568/36569 and 36570/36571.
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