How can I best bill for insertion of a PICC line?

+1 vote
asked Sep 22, 2015 by anonymous
retagged Sep 22, 2015
It is not uncommon as an anaesthetist to be asked to insert a Peripherally Inserted Central Catheter (PICC) line, either on the ward or in theatre. Sometimes this can be relatively straightforward (ie. 30 min), at other times long and laborious.

Is there a specific item number for this? How can I best bill?

1 Answer

+1 vote
answered Sep 22, 2015 by anonymous
selected Sep 22, 2015 by admin
Best answer

According to the MBS, item 13815 ("CENTRAL VEIN CATHETERISATION by percutaneous or open exposure") should be appropriate, though there are reports of mixed success when using this item number.

A PICC line inserted under anaesthesia should be billable under item 22020 (percutaneous central vein catheterisation under anaesthesia).

Both are valued as 5 RVG units for the first hour, then 1 RVG unit for each hour thereafter.

ASA item CV800 (use of ultrasound for major vascular access) may be appropriate if an ultrasound is used, but is not recognised by the MBS.

Alternatively some anaesthetists bill a PICC line as a 'referred anaesthetic consultation' , choosing the appropriate length item (eg. 17645).

Welcome to Patientloops FAQ. This resource is developed to:

A. Help anaesthetists find their way in the complex billing environment of the Medicare Benefits Schedule and Health Funds.

B. Help with questions about Patientloops , the next generation patient management system for anaesthetists.