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Z46.82
ICD-10-CM
PICC Line Placement

Find comprehensive information on PICC line placement diagnosis, including clinical documentation requirements, medical coding guidelines, and healthcare best practices. This resource covers peripherally inserted central catheter insertion, PICC line complications, ultrasound-guided PICC placement, and appropriate ICD-10 codes for PICC line placement. Learn about tip location confirmation, catheter placement verification, and proper documentation for central venous access devices. Explore resources for physicians, nurses, and coding professionals involved in PICC line procedures.

Also known as

Peripherally Inserted Central Catheter Placement
Central Venous Catheter Placement

Diagnosis Snapshot

Key Facts
  • Definition : A peripherally inserted central catheter (PICC) is a long, thin tube inserted into a vein in the arm and advanced to a large vein near the heart.
  • Clinical Signs : Often no specific signs related to placement itself, but indicated for patients needing long-term IV medications, fluids, or nutrition.
  • Common Settings : Hospital bedside, outpatient infusion centers, or sometimes at home with trained healthcare providers.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z46.82 Coding
0JH033Z

Insertion of peripherally

Insertion of peripherally inserted central venous catheter

3E03017

Introduction of PICC

Introduction of peripherally inserted central catheter

02H03JZ

Insertion of central venous

Insertion of central venous catheter, peripherally inserted

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is PICC placement for dialysis access?

  • Yes

    Code Z99.2. If malfunction, also code the malfunction.

  • No

    Is PICC placement for infusion therapy?

Code Comparison

Related Codes Comparison

When to use each related code

Description
PICC Line Placement
PICC Line Complication
PICC Line Removal

Documentation Best Practices

Documentation Checklist
  • PICC line placement confirmation (imaging)
  • Tip location documented (e.g., cavoatrial junction)
  • French size of PICC
  • Reason for PICC placement
  • Anatomic landmarks for insertion site

Coding and Audit Risks

Common Risks
  • Incorrect Catheter Tip Placement

    Coding errors arise from documenting incorrect final catheter tip location, impacting appropriate code assignment and reimbursement.

  • Unspecified PICC Line Type

    Lack of documentation specifying single, double, or triple lumen PICC can lead to coding ambiguity and potential claim denials.

  • Unbundled Insertion Codes

    Separate coding for venipuncture or other procedures integral to PICC placement can trigger audits for unbundling and compliance issues.

Mitigation Tips

Best Practices
  • Document laterality, tip location, French size for accurate coding.
  • Use consistent terminology: PICC, not 'central line' for CDI clarity.
  • Verify physician order specifies line necessity for compliance.
  • Ensure tip placement confirmation report is in record for billing.
  • Query physician for clarification if documentation is incomplete.

Clinical Decision Support

Checklist
  • Confirm PICC tip placement in lower SVC via CXR
  • Document PICC line size, length, insertion site
  • Assess patient for allergies contraindications
  • Verify physician order for PICC placement

Reimbursement and Quality Metrics

Impact Summary
  • PICC Line Placement reimbursement hinges on accurate coding (CPT 36556, 36558, 77001) and documentation justifying medical necessity.
  • Coding errors impact MS-DRG assignment and hospital reimbursement for PICC Line insertions.
  • Quality metrics like infection rates (CLABSI) and DVT incidence are affected by PICC Line Placement practices.
  • Proper coding and documentation are crucial for tracking PICC Line complications and improving patient outcomes.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code laterality for PICC placement
  • Document tip location
  • Verify catheter type for accurate coding
  • Confirm placement with imaging report
  • Include diagnosis justifying PICC

Documentation Templates

Peripherally inserted central catheter (PICC) line placement was performed on [Date] at [Time] for [Indication, e.g., long-term intravenous antibiotics, chemotherapy, total parenteral nutrition].  Patient presented with [Symptoms or clinical rationale necessitating PICC line placement, e.g., difficult venous access, need for vesicant medication administration, long-term intravenous therapy].  The procedure was performed using [Insertion site, e.g., right basilic vein, left cephalic vein] under [Guidance method, e.g., ultrasound guidance, fluoroscopy] with [Anesthesia, e.g., local anesthesia with 1% lidocaine].  Catheter tip placement was confirmed by [Confirmation method, e.g., chest x-ray, fluoroscopy] to be in the [Tip location, e.g., superior vena cava, cavoatrial junction].  The catheter was secured with [Securement device, e.g., StatLock, suture] and flushed with [Flush solution, e.g., normal saline, heparinized saline].  Post-procedure assessment revealed [Post-procedure findings, e.g., no immediate complications, good blood return, patient tolerated procedure well].  Patient education provided on PICC line care and maintenance, including dressing changes, flushing protocols, and signs and symptoms of infection.  Follow-up scheduled for [Follow-up date/time] for [Follow-up reason, e.g., dressing change, PICC line removal].  Procedure codes: [Relevant CPT codes, e.g., 36561, 36565, 76937].  Diagnosis codes: [Relevant ICD-10 codes, e.g., Z99.2, T82.5XXA].