Cpt Code For Central Venous Line Removal

Repair cpt 36575 36576.

Cpt code for central venous line removal.

Transmittal 1760 cms. Device removal codes cpt codes 36589 and 36590 central venous access device are reported for the removal of a tunneled central venous catheter. Greater or less than 5 years old must be identified. 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.

The revisions to 36568 36569 and 36584 and the additions of 36572 36573 make guidance bundling issues much clearer. 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. What is the cpt code for a picc peripherally inserted central venous catheter line placement. Non tunneled catheter removal cpt code.

Here are a few of the determining factors you need to consider to choose the right code. 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. The only difference between tunneled catheter removal cpt codes is the presence or absence of subcutaneous port or pump. Partial replacement cpt 36578.

It the removal of catheter is done without subcutaneous pump or port we will code 36589. Mechanical removal codes cpt codes 36595 and 36596 are reported for the removal of obstructed material. If the removal of catheter is done with subcutaneous pump or port we will code 36590. 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.

Imaging guidance including ultrasound or fluoroscopy can be reported in addition to the procedure. 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. 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. Complete replacement cpt 36580 36585.

Code 36596 cannot be used with code 36593 declotting by thrombolytic agent of implanted vascular access device or catheter because 36593 is. Cpt codes 36555 36569 describe the insertion of non tunneled and tunneled centrally inserted central venous catheter s. The imaging codes are add on codes to the main procedure performed.