cpt code for ultrasound

Unfortunately, many institutions don’t realize the importance of billing for technical fees and only bill for professional fees. The reimbursement guides provide general coverage and payment information for diagnostic ultrasound and ultrasound … CPT code 76811 is used for billing this ultrasound screening which is used for evaluation of the fetal brain, heart, abdominal organs, face or umbilical cord. Ultrasound, real time with image documentation; for abdominal aortic aneurysm (AAA) screening. • For performing code 10022. CPT Code Description 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first … 0000010042 00000 n The appropriate assignment of a specific ultrasound CPT code is not solely determined by the weight, size, or portability of the equipment, but rather by the extent, quality, and documentation of the … 0000005666 00000 n Coding Clarification: Specific CPT code for non-covered service: B-scan for atherosclerotic narrowing of peripheral arteries not found. The Current Procedural Terminology (CPT) code range for Diagnostic Ultrasound Procedures 76506-76999 is a medical code set maintained by the American CPT® Code - Diagnostic … 76700 Abdomen Complete Ultrasound 76705 Abdomen Limited 93975 Abdomen Doppler 76770 Aorta/Renal Retroperitoneal Complete 76775 … 0000010556 00000 n The CPT code filed by the hospital will be assigned to a hospital outpatient system Ambulatory Payment Classification (APC) payment system, and payment will be based on the APC grouping. 1CT Abd & Pelvis W/ Contrast741771CT Enterography W/ Contrast CT Max/Facial W/O Contrast70486#CT Sinus Complete W/O … Doppler Echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for 2D echocardiographic imaging); follow up or limited. The procedure provides your doctor with black-and-white images of your prostate and the surrounding … Whether you are billing for ultrasounds in the emergency department, clinic, office, outpatient, or inpatient settings we hope you find this helpful. • For percutaneous needle core biopsy using imaging guidance use CPT code … The Professional Fee/Payment will be received by your physician group directly. Ultrasound Coding •Ultrasound of transplanted kidney (76776) –Includes Duplex Doppler –If Doppler not done report limited retroperitoneal (76775) ultrasound –Cannot report non-invasive vascular study of pelvic arteries . (I can not guarantee the accuracy of all reimbursement rates, please double-check yourself if needed). H�\��n�@D�|��C� =݉�,%v"����:� c)4��}��(+-���T�&_o7۾�\�'�.L���m��������ٲpm�L�g�ws��,O�w��N��0dU����y�Ww���p��cb����zw���e?�)��[��ʵᐂ^��W} I want to go over the differences between them and some ultrasound coding guidelines before you start looking at the CPT code list. This ultrasound is performed if in addition to the indications under CPT code … 4/11/2011 11 21 Ultrasound Coding … Basically it is the fees for the equipment cost. There is not yet a Category I CPT code assigned in the focused ultrasound industry, although treatment of prostate cancer using focused ultrasound will be assigned a CPT code on Jan 1, 2021. 0000015605 00000 n %PDF-1.4 %���� H���]O�8���+|�^��;�4Bb�����e�J[YҤJ�����&�44!�� @��c��}ADAσ�Mfv���%�`|~G�c:� Like this Post?Sign Up For POCUS 101 Updates! 0000005033 00000 n A head and neck ultrasound is not used to evaluate structures inside an infants head such as bleeding on the brain, excess fluid accumulation, enlarged skull size, etc. CPT® 76817 is used to report a transvaginal ultrasound. The other OB ultrasound … Below I have tables with CPT codes listed and approximately reimbursement rates to get you started. 0000115588 00000 n Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography), Thoracentesis, needle or catheter, aspiration of the pleural space, with image guidance, Pleural drainage, percutaneous, with insertion of indwelling catheter, with image guidance, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks O days), trans abdominal approach; single or first gestation, each additional gestation (List separately in addition to code for primary procedure), Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks, 0 days), trans abdominal approach; single or first gestation, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, trans abdominal approach; single or first gestation, Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, trans abdominal or transvaginal approach; single or first gestation, each additional gestation (List separately in addition to code for primary procedure. Ultrasound Reimbursement Rates are approximate and based on the National Average of the Medicare Physician Fee Schedule. For the most part, you should be able to bill for this, assuming you have a process to archive and QA/QI your scans. 0000012450 00000 n Ultrasound Retroperitoneal (Renal) 76770 Kidney Transplant 76776 Adrenals Only (LTD Retroperitoneal) 76775 Abdomen 76700 Doppler (Vascular Abd/Renal) 93975 Abdomen Limited (ie … 2019 RADIOLOGY CPT CODES. For example, a physician should not report a diagnostic ultrasound CPT code and CPT code 76942 (ultrasonic guidance for needle placement...) when performed in the same anatomic region on the … 523 0 obj <> endobj xref 523 46 0000000016 00000 n 0000010918 00000 n Sonosite recognizes the importance of accurate coding and billing for ultrasound examinations. Usually, this payment will go to the hospital or institution that purchased the ultrasound machines. Professional Fees or Payment of a charge covers the cost of the PHYSICIAN or PROVIDER’s professional services. 0000021246 00000 n The Technical Fees or Payment of a charge addresses the use of the equipment, facilities, non-physician medical staff, supplies, etc. 0000008006 00000 n 76645 Ultrasound Breast (unilateral or bilateral) 76880 Ultrasound Axilla • For characterization of a breast nodule the recommended CPT code is 76645 (Breast ultrasound). Fidelis Care: Cardiology, Radiology, and Ultrasound CPT Code List. CPT® five-digit codes, nomenclature, and other data are Copyright American Medical Association. OB, Pregnant Uterus, & Transvaginal OB complete 1st Trimester single gestation 76801 Pregnant Uterus > 14 weeks single … of the ultrasound service as an outpatient service. Complete coding without a complete image? Coding for diagnostic MSK ultrasound requires an understanding of CPT codes 76881, 76882 and 76942: 76881 Ultrasound, extremity, non-vascular, real time with image documentation; … ULTRASOUND GUIDED BIOPSY 76942 PELVIS WO CONTRAST 72192 FLOUROSCOPIC GUIDED BIOPSY 77002 PELVIS W/ CONTRAST 72193 CT GUIDED BIOPSY 77012 PELVIS W/ & WO … 0000081100 00000 n 0000006604 00000 n 0000008120 00000 n 0000036461 00000 n 0000040744 00000 n A prostate ultrasound is used to check your prostate gland using ultrasound imagery. /�E�+� !%$�X���~ �!E*�2d��w��R���Ǐ;w�q���v���P�0ɶ���q���n�Q,�����_����y��/l;�4��.������WX���7�;{����\ˠ�;�=�I�2�d-z��kՃ٦hp��� j�v|�d��#N�]U��� Db�dz�� �Ϳ��!���w�E��0���|@Nx>��$b��c�xϼG�&c����a6�G�#�����K���8��-�c*��4�F֜���4k5i5k5i5k5i5�)g�3�Ĝ��|���L|a��L ���� {�2�e�˰�!/�c��/vT���Sy��g���X��-��Jw��� N��>�+� y[�� endstream endobj 527 0 obj <> endobj 528 0 obj <>stream 0000004508 00000 n 2019 Ultrasound Exam CPT Codes* General and Vascular. ��]K�����P��q*�(((���W˖��BZP��� Đs@,�� �7��"��h���6����2��X3���X�0|d�`u���LO�w�[��E� ��3"7��\ The CPT … 0000018430 00000 n 0000006127 00000 n 0000008232 00000 n 0000003896 00000 n CPT® 76802, CPT® 76810, CPT® 76812, and CPT® 76814 are “add-on” codes used to report each additional fetus. 0000078424 00000 n 0000011336 00000 n What is the Transvaginal Ultrasound CPT Code? Hypo- / hyper-thyroid E03.9/E05.90 Enlarged lymph nodes R59.9 Enlarged thyroid / … 0000027397 00000 n The CPT code … Echocardiography, transthoracic, real time with image documentation (2D) includes M-mode recording when performed; complete, without spectral Doppler or color flow Doppler. 0000011728 00000 n 0000045144 00000 n 76776 Ultrasound, transplanted kidney, real time and duplex Doppler with image … 0000002373 00000 n h�b```g``d`c`٥� �� � Q��ey���n��S What makes ultrasound somewhat unique is the fact that if only four of our hypothetical five required elements are imaged, it is still possible to … .���m�t���wiͿ�]����|I�fh�y�����j����^ұ�B��w�+���G���������|~ ?�7� ���«�kK�-��%�$�`!ؓ=X� h�bb�``b``Ń3� ���ţ�1��Z�` �@ endstream endobj 524 0 obj <>/Metadata 15 0 R/Pages 14 0 R/StructTreeRoot 17 0 R/Type/Catalog/ViewerPreferences<>>> endobj 525 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 526 0 obj <>stream I put in the non-technical version of the study in the first column so it would be easier for you to use and browse through. A cyst drainage may be reported using 19000. 0000007579 00000 n Ultrasound is safe, noninvasive exam and does not use ionizing radiation. 0000001854 00000 n ), Ultrasound, pregnant uterus, real time with image documentation, follow-up (e.g., revaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), trans abdominal approach, per fetus, Fetal biophysical profile; with non-stress testing, Fetal biophysical profile; without non-stress testing, Doppler velocimetry, fetal, umbilical artery, Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and interpretation, Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation, Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation, Ultrasonic guidance for amniocentesis, imaging supervision and interpretation, Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation, Hysterosonography, with or without color flow Doppler, Ultrasound, pelvic (non-obstetric), real time with image documentation; complete, limited or follow-up (e.g., for follicles), Ultrasound of soft tissues of head and neck (e.g., thyroid, parathyroid, parotid), real time with image documentation, Ultrasound, breast(s) (unilateral or bilateral), real time with image documentation, Duplex scan of extracranial arteries; complete bilateral study, Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study, Vessel mapping of vessels for hemodialysis access (Services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow), Fine needle aspiration; with imaging guidance, Biopsy, breast, with placement of breast localization device(s) when performed and imaging of biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance, Placement of breast localization device(s), percutaneous;, first lesion, including ultrasound guidance, Biopsy, thyroid, percutaneous core needle, Duplex scan of extracranial arteries; unilateral or limited study $172.21, Transcranial Doppler study of the intracranial arteries complete study, Transcranial Doppler study of the intracranial arteries limited study, Duplex scan of lower extremity arteries or arterial bypass grafts, complete bilateral study, Duplex scan of lower extremity arteries or arterial bypass grafs, unilateral or limited study, Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study, Duplex scan of arterial inflow and venous outflow ofabdominal, pelvic, scrotal contents and or retroperitoneal organs; complete study, Duplex scan ofarterial inflow and venous outflow of abdominal, pelvic, scrotal contents and or retroperitoneal organs; limited study, Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts, complete study, Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study, Duplex scan ofarterial inflow and venous outflow of penile vessels; complete study, Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study, Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow). 0000054284 00000 n CPT code above if medical necessity criteria are met: ICD-10 diagnosis coding ICD-10 Diagnosis code Description G25.0 Essential tremor The following CPT codes are considered investigational for … 0000057737 00000 n Echocardiography, transthoracic, real time with image documentation (2D) includes M-mode recording when performed; complete, with spectral Doppler and color flow Doppler. 0000001707 00000 n 0000003085 00000 n 3<=���+����Wx�:T+���0�`�~� 8lH�^�!Z�֥��v�ה��9�rފ�;��b��U��U@~�U(���}�Jڥ��uPy��� m�;��^x�|>2��O�Zr5��X8f�š9N���a�Z�ki���V"1 Ǥ�����.L���7�p�,��5�x6�وgÞ�Y���g�9c�Y&�1�N�:�x���y�������[4��,s� ��h��,�ԯ ��� endstream endobj 529 0 obj <> endobj 530 0 obj <>stream If you can show the hospital that you are generating revenue for them through technical fees it is much easier to get them to put new ultrasound machines in the budget! The Ultrasound CPT Codes and Reimbursement lists below are completely searchable and sortable by column to make it easier for you to find any Ultrasound CPT Code for 2020. 0000075748 00000 n 1Bone Density/DEXA77080. 4�gZ9 � ��H�>��l �` �1c endstream endobj 567 0 obj <>/Filter/FlateDecode/Index[17 506]/Length 40/Size 523/Type/XRef/W[1 1 1]>>stream 0000024346 00000 n This is correctly coded using CPT code … 0000001216 00000 n 0000001517 00000 n 76816. 0000032330 00000 n Ultrasound Guided Lymph Node Biopsy CPT Code In ultrasound guided lymph node biopsy, an ultrasound device is placed right in front of the area, from where biopsy is to be performed. r�,�,�,�,�,�,�,�,�,�,�,�,y"?���5���fwAw���=}���Le�"S���Tf*2���Le�Ι�証��������|֊g�����n�n�n�4x= �FO�����i�4x= �FO���3���~S�*��~�Is�1m�y[�{�������ѥU�d_ t�2 endstream endobj 534 0 obj <> endobj 535 0 obj <> endobj 536 0 obj <> endobj 537 0 obj <> endobj 538 0 obj <> endobj 539 0 obj <> endobj 540 0 obj <> endobj 541 0 obj <>stream Coding Tips 1. However, for Medicare, the hospital outpatient facility and the physician must report the same CPT code. In medical coding, we have two procedure CPT codes for complete and limited ultrasound abdomen.CPT code 76700 and 76705 is … The appropriate CPT code to report an ultrasound examination of the breast is 76641 (Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete) or 76642 (Ultrasound… It will be given the code … 76802 -each additional gestation (List separately in addition to code for primary procedure) 76805 – Ultrasound, pregnant uterus, real time with image documentation, fetal and … H�\�͊�@��y�Zv/��ݺ�� �� .�q�bR:�1 1.|���#=0��Ť��8��n��}��.�> �!�������mj�;�s�'y�ڮ�G�gs��$����.��4$U����u���i���ߦ6L]vO���g�n��'\B?�̭׮ �8�K=~�/��˲�}�w��%��w���\��i�6\Ǻ SݟCRe�v�G|��з����O��zJ��#^�e��]'U�-��+�+��"����%/kw����fF�J���K�/sr.��$�`!ؓ=X� H�\��n�0����\/*Z���ԃ�����tH#�@/x�ٸ�E�|Q�߿�D��X�v��=��� �ֻ�c��֫m������mW*��j'�J��*�!���q Ultrasonic guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real time ultrasound visualization of vascular needle entry, with permanent recording and reporting; Additional CPT code: 36400, 36410, 36555, 36556, 36568… If the site of service is a hospital outpatient setting or an ASC and the physician is performing the ultrasound guidance, the -26 modifier (professional service only) should be appended to the CPT … Ultrasound, pregnant uterus, real time with image documentation, follow -up (e.g., revaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re -evaluation of organ … Transthoracic echocardiography for congenital cardiac anomalies, complete, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited, Echocardiography, transthoracic, real-time with image documentation (2D, with or without M-mode recording), during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report. CPT Code Description 76376 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound… We hear “Professional” versus “Technical” fees and payments all of the time. When coding for a patient in their second or third trimester, you may have to make the distinction between a traditional US (76805) and its more detailed counterpart, 76811 Ultrasound, … 0000005117 00000 n CPT Code and description: Medicare Physician Fee Schedule Amount: CPT 76937: Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real-time ultrasound visualization of vascular needle entry, with permanent recording and reporting: 15.52: CPT 76604: Ultrasound… 0000002814 00000 n If you are performing Point of Care Ultrasound (POCUS) in your department and have an official review process (QA/QI), then you should really consider coding and billing for your ultrasound scans. For the evaluation of a transplanted kidney with duplex report CPT code 76776, without duplex CPT code 76775. Basically you are charging for your time and expertise for performing the ultrasound exam. coding inquiry not listed please call us at 800-841-4236 ext. ƒ Ultrasound can be performed to evaluate threatened or missed abortion (miscarriage) (report one of the following CPT codes: 76801 [plus 76802 if more than one fetus] if a complete ultrasound has not yet … Thyroid or Soft Tissue Neck Cervical Bruits76536. This is not a simple one code answer for this question, as there are several codes for the transvaginal ultrasound and the code depends on if the patient is pregnant and if there is one or more than one fetus/baby. Updated: 12/26/2018 V1.2019 Effective: 1/1/2019. )O`���O��e(�����n�G�˗���� �rx��� �N�_���C`�����Jo~�� H)��������i������ �=�mp:�^�z����6��3E��C4��۰"{wE�+�����M�4]Ytmgϛ�7�šG3Wĉ��}9;=;#����C�١�pT`��`2=%�j&�oJK]i�層#�Lsf� |�����{�奾X/�4FO�MF�dP|(���=�\���plƧDbC�O#j��;��)f4g�F����M��\b�˒�[i�i���(��D�)�zB�Va�4��@��,�)��zX�0�N�D�"�yd6�'������u�F`���î��*���Vc�`����(�gx�KZ���Z�E}�_b���x��͘f7&���&���]z�봨�$�A�_K�}ɠ6(�l�5�Ą�Tڇ�ć��MB�uⴍ�8��X9�w>����u#P���;'\���. However, we’ve found in our practice that billing for technical fees is very important when it comes time to purchase new ultrasound machines. CPT Code Guidelines Ultrasound. Ultrasound Abdomen. 0000030285 00000 n 59109. 0000003500 00000 n 6���\¹�s ga� K�%�f ��Y�,a� K�%�f ��Y�,a�,Yo�70��#�GЏ�A?�~�x��я��������������������������������)�+�+�+�+�+�+�+�+�+�>�0;Qt��Rd);Qt���%��(�Q���{�~�(�Q���{��1�ct68� �Fg�����lt68� �Fg�����lt68��Ud9~_Y� ��I�j��>�qs������Ʋw�k�>|>Y�atq��_ 0� endstream endobj 531 0 obj <> endobj 532 0 obj <> endobj 533 0 obj <>stream 0000010126 00000 n Then a needle is used to take sample from lymph nodes. Definition of Professional versus Technical Fees/Payments For Ultrasound CPT Codes and Reimbursement, Point of Care Ultrasound (POCUS) CPT Codes List and Reimbursement Rates, Point of Care Ultrasound (POCUS) Diagnostic Exam CPT Codes List, Point of Care Ultrasound (POCUS) Ultrasound-Guided Procedures CPT Codes List, Add-on CPT Codes for Ultrasound-Guided Procedures, Cardiac Ultrasound and Echocardiogram/Echocardiography CPT Codes List and Reimbursement Rates, Pulmonary/Lung Ultrasound CPT Codes List and Reimbursement Rates, Obstetrics Ultrasound CPT Codes List and Reimbursement Rates, Gynecology Ultrasound CPT Codes List and Reimbursement Rates, Surgery Ultrasound CPT Codes List and Reimbursement Rates, Vascular Surgery Ultrasound CPT Codes List and Reimbursement Rates, 93308: Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study; 76705: Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up); 76604: Ultrasound, chest, B-scan (includes mediastinum) and/or real time with image documentation, Echocardiography, transthoracic, real time with image documentation (2D) includes M-mode recording when performed; follow up or limited, Ultrasound, chest (includes mediastinum), real time with image documentation, Ultrasound, abdominal, real time with image documentation limited (e.g., single organ, quadrant, follow-up), Ultrasound retroperitoneal (e.g., renal, aorta, nodes), real time with image documentation; limited, Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study (DVT Ultrasound), Ultrasound, extremity, nonvascular, real-time with image documentation; limited, anatomic specific, Ophthalmic ultrasound, diagnostic; B-scan (withor without superimposed non-quantitative A-scan), Ultrasound, pregnant uterus, real time with image documentation, limited (e.g., fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses, Ultrasound, pregnant uterus, real time with image documentation, transvaginal, Non-pregnant Transvaginal (ovaries, uterus, pelvic), Ultrasound, transvaginal (Non-Obstetrical), Ultrasound, pelvic (non-obstetric), or real time with image documentation; limited or follow-up, Ultrasound-Guided Vascular Access (PIV, Central Line, etc), Ultrasonic guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real time ultrasound visualization of vascular needle entry, with permanent recording and reporting; Additional CPT code: 36400, 36410, 36555, 36556, 36568, 36569, Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection localization device), imaging supervision and interpretation; Additional CPT code: 32421, Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 49080, Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 10160 or 10161, Ultrasound-Guided Peritonsillar Abscess Drainage, Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 42700, Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 10120 or 10121, Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 51100, Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 62270, Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 20600, 20605, or 20610, Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation; Additional CPT code: 33010, INCISION AND REMOVAL FOREIGN BODY COMPLICATED, INCISION AND DRAINAGE OF ABSCESS COMPLICATED, THORACENTESIS, PUNCTURE OF PLEURAL CAVITY FOR ASPIRATION, INITIAL OR SUBSEQUENT, VENIPUNCTURE REQUIRING PHYSICIAN SKILL AGE < 3 YO, VENIPUNCTURE REQUIRING PHYSICIAN SKILL AGE >3 YO, INSERTION OF NON-TUNNELED CENTRAL VENOUS CATHETER AGE < 5 YO, INSERTION OF A NON-TUNNELED CENTRAL VENOUS CATHETER AGE > 5 YO, INSERTION OF A PERIPHERALLY INSERTED NON-TUNNELED CENTRAL VENOUS CATHETER AGE <5 YO, INSERTION OF A PERIPHERALLY INSERTED NON-TUNNELED CENTRAL VENOUS CATHETER AGE > 5YO. 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