What codes should be reported for a PICC with a port placed under fluoroscopic guidance?

The correct choice for reporting a PICC line with a port placed under fluoroscopic guidance involves understanding the specific codes associated with the procedure. The selection includes the specific codes that capture the placement of a peripherally inserted central catheter (PICC) and the associated imaging guidance.

The code 36571 is specifically used for the placement of a PICC line, which includes both the insertion of the catheter and necessary imaging to ensure proper placement. The additional code 77001, which refers to fluoroscopic guidance, is crucial for accurately reporting the imaging that accompanies the procedure. Including the modifier -26 indicates that only the professional component of the imaging interpretation is being billed, which can be relevant in cases where the imaging is interpreted by a different physician than the one performing the procedure.

This combination of codes reflects the comprehensive approach to documenting the procedure, ensuring that both the insertion and the guidance aspects are properly captured for billing purposes. This ensures compliance with coding standards and reflects the complexity of the intervention performed.