Cpt Code For Central Venous Line Removal

What is the cpt code for a picc peripherally inserted central venous catheter line placement.

Cpt code for central venous line removal. The revisions to 36568 36569 and 36584 and the additions of 36572 36573 make guidance bundling issues much clearer. Greater or less than 5 years old must be identified. The age of patient. Code 36596 cannot be used with code 36593 declotting by thrombolytic agent of implanted vascular access device or catheter because 36593 is.

The only difference between tunneled catheter removal cpt codes is the presence or absence of subcutaneous port or pump. This new list of codes identifies several factors that should guide the codes you use when you insert central venous catheters. Non tunneled catheter removal cpt code. Cpt code 36568 or 36569 for the insertion of a picc line depending on the patient s age and codes 36584 or 36585 for the replacement of a picc line.

This means you cannot use 76937 ultrasound guidance for vascular access and 77001 fluoroscopic guidance for central venous access device placement replacement catheter only or complete or removal. Mechanical removal of pericatheter obstructive material eg fibrin sheath from central venous device via separate venous access 75901 mechanical removal of pericatheter obstructive material eg fibrin sheath from central venous device via separate venous access. The imaging guidance included in cpt codes 36572 and 36573 is imaging guidance to identify and or enter potential venous access sites and imaging guidance to confirm the final termination point of the picc line. Jul 1 2009 hcpcs code q4115 has been removed from table 3 and the cms does not construe this as a change to the mac statement of work applies paf 5 or 6 to.

The imaging codes are add on codes to the main procedure performed. Imaging guidance including ultrasound or fluoroscopy can be reported in addition to the procedure. Cpt codes 36555 36569 describe the insertion of non tunneled and tunneled centrally inserted central venous catheter s. Complete replacement cpt 36580 36585.

When imaging is used for these procedures either for gaining access to the venous entry site or for manipulating the catheter into final central position use 76937 ultrasound guidance or code 77001 fluoroscopic guidance. Device removal codes cpt codes 36589 and 36590 central venous access device are reported for the removal of a tunneled central venous catheter. Teaching care for and maintenance of peripheral and central venous lines and. Mechanical removal codes cpt codes 36595 and 36596 are reported for the removal of obstructed material.

It the removal of catheter is done without subcutaneous pump or port we will code 36589. Partial replacement cpt 36578. Transmittal 1760 cms.