For those looking at the Proposed 2006 allowances, does anyone have comments on:

1.  APC 0109 (Removal of Implanted Device)-- could not find OPPS $ ____

2.  APC 0115 (Cannula / Access Device Procedure)  $1,899.17
      descriptor of this with CPT Code of 36861 for Cannula declotting
      Would this be appropriate for Outpatient Declotting of PICC?

3.  APC 0621 New Listing Level I Vascular Access Procedure
Insertion of non-tunneled cv cath CPT Code of 36555 /6 fpr $500.77
    Reposition venous catheter  CPT code 36597
I think I understand that they are increasing the amount of allowance for PICC placements
    from 2004, but not what the 2003 rates were.
    But could one code an Insertion and a Reposition on the same day?

4. Does anyone know the difference between a Level I and Level II Insertion of a Tunneled CV cath? Because a Level I tunneled is $500.77 but the Level II is $1,283.33.

Would this $700. difference be reflective of the physician allowable charge or the hospital
allowable charge to the patient for the procedure?

Any other comments?

Thanks,
Shirley





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