Tunneled catheter removal CPT Code - Do and Don't

Tunneled catheter removal CPT Code Basics

Vascular chart are considered a little difficult to code in Interventional radiology (IVR) coding. Only, easy codes to code in IVR are the catheter placement codes. We have already learned about the Tunneled central venous catheter placement coding in previous post. Now, as we are placing catheter we have procedure code for removal as well.  The Tunneled catheter removal cpt code are important since when to code and when not to code. Therefore, the medical coders have to follow certain guidelines while coding tunneled catheter removal CPT Code. Let check out more about them.
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Tunneled catheter removal CPT Code - Do and Don't

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Tunneled catheter removal CPT Code versus icd 9 code

Catheters are removed only when there is some problem with the function of catheter. So, whenever we are removing a catheter there will be some complication present, which is making us the remove it. So for complication of tunneled catheter we use 996.1 as a common code. The icd 9 code 996.1 is coded when the catheter is displaced from its original position or it is dysfunctional. Also, sometimes there are infections due to central venous catheter which will lead us to code 996.62.

996.1 -the mechanical complication of other vascular device

996.31- Infection and inflammatory reaction due to other vascular device

These two icd code are very commonly use whenever we are coding tunneled catheter removal CPT Code. Now, we will check out the cpt codes used for removal of tunneled catheter removal.
36589- Removal of tunneled central venous catheter, w/o subcutaneous port or pump

36590—Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion

The only difference between tunneled catheter removal CPT Codes is the presence or absence of subcutaneous port or pump. It the removal of catheter is done without subcutaneous pump or port we will code 36589. If the removal of catheter is done with subcutaneous pump or port we will code 36590.

Non-Tunneled Catheter removal CPT Code

For Non-tunneled catheter removal we don’t have any specific code. Since, the procedure is not so complicate because of non-tunneled catheter. The removal procedure for Non-tunneled is coded by E&M coders.

Do and Don’t- Tunneled catheter removal CPT Code

Do not code the Tunneled catheter removal cpt code when we are code a Catheter replacement cpt codes (36581-36585) through same site.
Code the Tunneled catheter removal CPT code when there is replacement is done with a non-tunneled catheter through same or different site.
Code the Tunneled catheter removal cpt code even when the replacement of tunneled catheter is done through a different site.

Scenario
36589-36590
Reason
When replaced with a tunneled catheter through same site
Don’t code
 included with replacement cpt code
When replaced with a non-tunneled catheter through any site
Code
 not included with cpt code
When replaced with tunneled catheter through different site
Code
The replacement is actually a insertion/placement procedure cpt code through a new site, which does not include the removal cpt code, hence should be coded separately as removal and placement procedure cpt code

Hope, this short article about Tunneled catheter removal cpt code, helps in improving your coding skills.

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2 comments

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S Sauer
20 July 2015 at 08:06 delete

Tunneled catheter removal without dissection (36589) is not billable except perhaps with an E&M code.
Correct??

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20 July 2015 at 08:38 delete

Cpt code for tunneled catheter removal code is coded with 36589 but if a non-tunneled catheter is removed it is coded with an E&M code...hope this will help you

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