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36.4.3.6 Central Lines
Placement (insertion) of a central venous catheter is denied as part of another procedure when procedure 2-33970 is billed on the same day. Separate payment for the insertion of monitoring lines is not available. Reimbursement for the insertion of monitoring lines is included in the anesthesia fee when the time units are calculated.
Providers should refer to the 2007 Texas Medicaid Fee Schedule PRCR402c-100107, which is available on the TMHP website at www.tmhp.com, for the reimbursement rates for the following procedure codes:
Procedure codes 7-01960 and 7-01967 are reimbursed at a flat fee for anesthesiologists. Providers must code the procedures in Block 24D of the CMS-1500 paper claim form with a valid CPT anesthesia code preceded by TOS indicator 7 for anesthesia.
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