Cardiology Question for the Week of January 11, 2016

Cardiology Compliance Question of the Week

Question:

A physician is asked to insert a central venous tunneled catheter. They first attempt the RIJ by US. They access the RIJ with a wire and catheter but are unable to pass the wire and catheter beyond the innominate vein. They abandon this access. They are successful with a LIJ approach. Should one code the unsuccessful catheterization of the RIJ? 

Answer:

Since the right internal jugular (RIJ) was punctured, and abandoned, you may report 36000 modifier XU/59 for the catheterization. If a venogram was performed to verify the blockage, you would report 36000 XU/59 / 75860 (jugular) or 36005 XU/59 / 75710 (innominate) as appropriate via documentation.  

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.