Find comprehensive information on PICC line diagnosis, including clinical documentation, medical coding, insertion, care, and complications. Learn about relevant healthcare procedures, ICD-10 codes for PICC line placement and related conditions, and best practices for documenting PICC line insertion and maintenance. This resource provides essential guidance for clinicians, coders, and other healthcare professionals involved in PICC line management. Explore topics such as thrombosis, infection, and other potential complications associated with peripherally inserted central catheters.
Also known as
Presence of PICC line
Indicates the presence of a peripherally inserted central venous catheter.
Mech compl of PICC/midline
Covers mechanical complications of PICC or midline catheters, initial encounter.
Mech compl of PICC/midline
Covers mechanical complications of PICC or midline catheters, subsequent encounter.
Mech compl of PICC/midline
Covers mechanical complications of PICC or midline catheters, sequela.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the PICC line encounter for insertion?
Yes
Any complications during insertion?
No
Is it a routine maintenance/flushing?
When to use each related code
| Description |
|---|
| PICC line placement |
| PICC line infection |
| PICC line occlusion |
Using an inappropriate code for the insertion site (e.g., upper arm vs. lower arm) or catheter tip location.
Coding insertion, guidance, and other related procedures separately when a comprehensive code exists, leading to overbilling.
Failing to code the underlying medical condition necessitating the PICC line, impacting DRG assignment and reimbursement.
Patient presented for peripherally inserted central catheter (PICC) line placement. Indication for PICC line includes long-term intravenous antibiotics for documented right lower lobe pneumonia. Patient exhibits persistent fever, cough, and shortness of breath despite initial oral antibiotic therapy. Chest x-ray confirms persistent infiltrate. Prior to procedure, informed consent was obtained, and risks and benefits of PICC insertion, including infection, thrombosis, and bleeding, were discussed. Ultrasound guidance was utilized for successful insertion of a 5 French, double lumen PICC line into the right basilic vein. Catheter tip placement was confirmed by chest x-ray to be in the superior vena cava. Line was flushed with 10ml normal saline and secured with a StatLock dressing. Patient tolerated the procedure well. Post-procedure instructions for PICC line care and maintenance were provided, including dressing changes, flushing protocols, and signs and symptoms of infection to monitor. Follow-up appointment scheduled for PICC line assessment and ongoing antibiotic management. ICD-10 code Z99.2 (Presence of other vascular access device) and CPT codes 36568 (Insertion of peripherally inserted central venous catheter) and 76937 (Ultrasound guidance for vascular access) were used.