As originally proposed, due to the language used, the concern was that bundling included central line insertions such as those in the CPT 36555-36571 family. The clarification referred back to the AMA CPT guidelines for bundled procedures which include:Vascular access procedures (36000, 36410, 36415, 36594, 36600). So Central lines such as 36556 (non tunneled CVL patient > 5 years age) would be billed separately. However, if you place and IV in a critically ill patient (CPT 36000), then you would include the time for the IV placement in your critical care time since the time is bundled.Ultimately there is no change in practice from the current practice for vascular access.
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