Coding, Classification and Reimbursement

Placement of interosseous lines

  • 1.  Placement of interosseous lines

    Posted 24 days ago
    ​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 23 days ago
    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 22 days ago
    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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