2019 Billing and Coding Changes for Peripherally Inserted Venous Catheters
SCCM Critical Connections – February 2019
by Deborah Grider
Central venous access procedures, commonly performed in critical care, have undergone a change in CPT 2019. To qualify as a central venous catheter or device, the tip of the catheter or device must terminate in the subclavian, brachiocephalic (innominate), or iliac veins; the superior or inferior vena cava; or the right atrium.
The venous access device may be inserted centrally (into the jugular vein, subclavian vein, femoral vein, or inferior vena cava), or peripherally (eg, into the basilic or cephalic vein). Midline catheters terminate in the peripheral venous system and are not considered central venous catheters, so they cannot be reported as peripherally inserted central catheters (PICCs). Central venous catheter insertion is bundled under pediatric codes 99468, 99469, 99471, 99472, 99475, and 99476, while PICC insertion is not bundled for patients of any age.