Coding, Classification and Reimbursement

Placement of interosseous lines

  • 1.  Placement of interosseous lines

    Posted 01-29-2019 09:02
    ​Physician placed 2 interosseous lines - left tibia and left proximal humerus -  during an extended code in the ED. Can CPT 36680 be charged for (once or twice?), or is it considered part of the critical care charge. Thanks for any help.

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    Marsha K. Thornburg, CCS,
    ED coder, Wayne Healthcare
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  • 2.  RE: Placement of interosseous lines

    Posted 01-30-2019 11:37
    Yes, the interosseous lines can both be coded (will need a modifier -59 or equivalent) on one.  They are not considered part of the critical care charge and can be billed separately.

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    Carol Nickels, RHIA, CCS
    Coding and Documentation Review Consultant
    Kaiser Permanente - Regional Offices (Oakland, CA)
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  • 3.  RE: Placement of interosseous lines

    Posted 01-31-2019 07:27
    36680 MUE is 1, but the Adjudication Indicator is 3, which means you can denote units of 2, or list 36680 out on 2 line items, but your bill will be denied.  Adjudication Indicator 3 is Date of Service, which allows provider to actually appeal this type of indicator.  Appeal noting the condition of the patient and different IO sites and I expect your MAC will reimburse.

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    Sheila Goethel
    Coding Services Senior Manager
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