You can post a question only up to 7 days from the date of the webinar.
You can continue to post comments and stay informed, compliant, and profitable.
This session has expired.
Register for our upcoming webinars & continue to get coding, compliance & reimbursement updates.


0 Followers Follow
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
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 -
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



Teresa Halliday, CCS-P
Coding and Compliance Coordinator
Radiology Associates
Please visit us at:

This transmittal is intended only for the use by the individual or entity to
who it is addressed. This transmittal may contain information that is
privileged, confidential and exempt from disclosure under applicable law. If
the reader of this transmittal is not the intended recipient, you are hereby
notified that any dissemination, distribution or copying of this
communication is strictly prohibited. If you have received this
communication in error, please notify us immediately by telephone and send
the original message to us by mail at the following address: 185 Genesee
St., Suite 600 . Utica, NY 13501-2199. Thank you.
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
Do you want to remove this attachment from this post?
Yes No
Do you want to add this specialty to your selected specialty list?
Yes No
To comment, please register for any of our webinars. Click here to register for our upcoming webinars.
This comment will be permanently deleted. Do you still want to continue?
Yes No
Do you want to remove this comment from this discussion?
Yes No
Do you want to block this user from participating in this discussion?
Yes No
Do you want to allow this user to participate in this discussion?
Yes No
This post will not be available for further discussion/comments if deleted. Do you still want to continue?
Yes No