Transcription of 2022 Billing and Coding Guidelines - Medtronic
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2022 Billing and Coding Guidelines - Medtronic
2021 Billing AND Coding Guidelines . HEMODIALYSIS CATHETERS. Overview of Central Venous Access Catheters for Hemodialysis Medtronic produces a variety of catheters used to perform hemodialysis in patients with renal failure. These catheters are Central Venous Access Catheters, intended to be inserted via a central vein typically, the jugular, subclavian, brachiocephalic, or femoral veins. Once inserted, the internal tip of the catheter is advanced into the superior or inferior vena cava or into the right atrium of the heart. To be used for hemodialysis, the catheters have two lumens with two caps that hang outside the body. All Medtronic dialysis catheters are centrally inserted. CPT *1 also provides codes for peripherally inserted catheters (PICC). These codes are not addressed within the guide. Procedures Using Hemodialysis Catheters There are seven different types of procedures that can be performed using central venous access devices: (1) Insert; (2) Replace; (3) Remove; (4) Repair; (5) Remove Obstruction; (6) Reposition; or (7) Evaluate catheter Each procedure has a specific set of CPT codes, as shown in the table below.
As noted, different CPT© codes are assigned depending on whether the catheter is non-tunneled (i.e., for acute, short- term use) or tunneled (i.e., for chronic, long-term use) and the patient’s age. CPT© Code Description Physician3 Surgery Ambulatory Center4 Hospital Outpatient4 36555 Insertion of non-tunneled centrally inserted central venous
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