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If the intent of the procedure is to place a PICC line but this cannot be done, and the catheter is advanced only into a peripheral vein can this be coded as a PICC with a -52 modifier?
No, if the tip of the catheter terminates outside one of the six locations (subclavian vein, innominate/brachiocephalic vein, superior vena cava, right atrium/right heart, iliac vein, inferior vena cava) defining a central venous access catheter or device it does not qualify as a central venous catheter and may not be reported as a PICC. Instead, this should be reported with a venipuncture code (36400, 36406, 36410).
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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