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Posted By Christie on 01-17-2007, 20:19:00 in Radiology
Hello List,

If fluoro is used for a chest at the time of PICC line placement, can I code both 36569 and 77001?

I know I can code fluoro with the CVC placement.

Thanks a whole bunch
Comments (6)
Posted By Kim on 01-19-2007, 13:06:00
If it's a cyst and the fluid is aspirated, I bill a cyst aspiration. It is the most accurate code to describe the service. If it's a lesion, nodule, etc. and a cellular aspirate is performed, I bill an FNA. If it's fluid collection not within a cyst and an aspirate is performed with a needle, I bill 10160.
Posted By Marylin on 01-19-2007, 12:37:00
Ditto
Marylin
Posted By STACIE on 01-18-2007, 21:38:00
Hi Teresa, the FNA is usually done with a 22 or 25 gauge needle but that isn't a definitive
requirement. I always look for the physician obtaining fluid from a cyst which is then sent to
pathology for analysis to code FNA.

Stacie L. Buck, RHIA, CCS-P, LHRM, RCC
Vice President, Southeast Radiology Management
"Your Radiology Business Experts"

Phone (772) 600-0324
Fax (772) 600-0327

Southeast Radiology Management - www.seradmgt.com
Posted By tess on 01-18-2007, 18:55:00
I guess I am still am not clear. When I worked for surgeons, if they
aspirated a cyst and sent the aspirate to cytology we billed an fna. If
they weren't concerned with the fluid, they would not send it to cyto. What
constitutes a FNA? I have seen the argument here about the size of needle,
but there were conflicting opinions on whether the actual gauge of the
needle was what made it a FNA. Why would they send the aspirate to cytology
unless they were concerned that there were suspicious cells?

What criteria is anyone using to decide to bill the fna or a cyst
aspiration?

Thanks.

T.


Teresa Halliday, CCS-P
Coding and Compliance Coordinator
Radiology Associates
thalliday@ranh.net
315-793-8806/phone
Please visit us at: http://www.yourradiologist.com

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Posted By Kim on 01-18-2007, 12:50:00
A PICC is a central venous catheter (CVC). The term CVC refers to where the cath terminates which must be in the central venous system rather than an extremity. I think the confusion is where it's inserted; whether peripherally (PICC) or centrally (internal jugular, etc.). In either case, you can use 77001 with all the codes.
Posted By JENNIFER on 01-17-2007, 22:38:00
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