Tuesday, June 22, 2010

Separately Reimbursable Anesthesia Services

Medi-Cal insurance separately reimburses for the following anesthesia services.


CPT-4 Code    Definition

36555    Insertion of non-tunneled centrally inserted central venous catheter; under 5 years of age
36556    Age 5 years or older
36568    Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; under 5 years of age
36569        Age 5 years or older
36580    Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access
36584    Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access
36620    Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous
62319    Injection, including catheter placement, continuous infusion or intermittent bolus, not including neurolytic substances, with or without contrast (for either localization or epidurography), of diagnostic or therapeutic substance(s) including anesthetic, antispasmodic, opioid, steroid, other solution), epidural or subarachnoid; lumbar, sacral (caudal)

Note:    Reimbursable only if the Remarks area/Reserved For Local Use field (Box 19) of the claim, or a claim attachment, includes a statement that the epidural line was not used during the surgical procedure, but placed for post-operative management.

93503    Insertion and placement of flow directed catheter (for example, Swan-Ganz) for monitoring purposes

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