Coding Quinton catheter procedures

Q.1  The physician inserts a Quinton Catheter for a patient with CKD what are the approriate codes ?

DX     CODE      DESCRIPTION 1        585.9        Chronic Kidney Disease 

PX     CODE      DESCRIPTION     1        86.07       Insertion Of Totally Implantable VAD    

CPT   CODE      DESCRIPTION         1        36558      Insertion of tunneled central venous Catheter without Subq                           Port/Pump                                                                                                      

Q.2  The physician removes a Quinton Catheter from a patient with CKD what are the approriate codes ? 

DX    CODE      DESCRIPTION

1        V58.81     Fitting or Adjustment Vascular                                                           2        585.9       Chronic Kidney Disease

PX    CODE      DESCRIPTION

1       86.05        Incision with Removal Of FB/Device From Skin/Subcu tissue        

CPT  CODE     DESCRIPTION         

1      36589       Remove Tunnel Central Venous Cath, w/o Subq port/Pump 

   

Note: Quinton Cath is tunneled central venous catheter without subquteneous Port/Pump