Stand alone TPA Infusion

May 18, 2017

Question:

"Patient presents with a malfunctioning dialysis catheter. TPA infusion is ordered by the interventional radiologist, and a 4 mg dose is infused over a two-hour time period. At the end of the infusion, the catheter is flushed and found to be working, and the patient is sent home. No fluoro evaluation or contrast injection deemed necessary." Would this be reported with code 36593, or would it be more appropriate to use 96365 or an E/M code for the facility service?

Question ID: 8914
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