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17 kwi 2013 · I'm getting differing opinions on how to code a midline catheter insertion. Some say 36569 is okay. Dr. Z seems to indicate that it is only okay if the intent was to place a PICC, but an obstruction was encountered (ant then modifier 52 would be appended).
Midline catheters may be coded with 36400, 36406, or 36410. For additional information regarding coding and billing for midline catheters, please see the following Q&A available on the Advisor tab of the PARA Data Editor: https://apps.para-hcfs.com/pde/documents/QA_2019%20Midline_Catheter_Placement%20Change.pdf.
Ultrasound-guided placement of midline catheters in the surgical intensive care unit: a cost-effective proposal for timely central line removal
1 lis 2018 · To qualify as a central venous access catheter or device, the tip of the catheter/device must terminate in the subclavian, brachiocephalic (innominate), or iliac veins; the superior or inferior vena cava; or the right atrium. To report a midline catheter, see codes 36400, 36405, 36406, or 36410.
What is a midline. A midline catheter is an 8 - 12 cm catheter inserted in the upper arm with the tip located just below the axilla. Insertion should be ultrasound guided by an experienced operator to ensure large calibre basilic or brachial veins are selected to avoid thrombosis.
20 kwi 2022 · Midline catheters must be placed by trained and specialised personnel. Although handling and maintenance do not require the intervention of a vascular access specialist, a series of requirements must be met to ensure proper functioning.
A 36 year-old patient presents for insertion of a single lumen midline catheter for intravenous access for infusion. The right brachial vein above the antecubital fossa was accessed using ultrasound guidance.
