The surgeon documented that she removed an infected infusaport. Is this reportable with a CPT code or is it bundled in the E&M service.
Answer:
The correct code for the removal of a catheter with a port or pump is CPT code 36590 (Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion). Most of the tunneled insertion codes have a ten day global period. So you will append modifier 78 for the removal, if the patient was returned to the OR during the ten day global period. If the return to the OR was outside the ten day global period, then you do not need modifier 78. CPT code 36590 has a ten day global period, thus if you are not in the global period of an associated procedure, you will start a new ten day global period again related to the removal procedure.
The first is known as a transurethral resection of the prostate (TURP). This is the commonest form of surgery used in BPH treatment and involves the removal of the inner core of the prostate. The procedure is performed under general anesthetic (or using a spinal anesthetic) and a wire cutting loop is inserted through the penis and urethra to remove tissue from the prostate.
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