Cpt Code For Removal Of Tunneled Picc Line

The american medical association ama has revised added and clarified cpt codes for insertion of peripherally inserted central venous catheters with or without imaging guidance.

Cpt code for removal of tunneled picc line.

The age of patient. 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. Cpt codes 36555 36569 describe the insertion of non tunneled and tunneled centrally inserted central venous catheter s. Cpt 36568 is still reported for a patient younger than 5 years old while cpt 36569 is reported for a picc line placement in a patient 5 or older.

Cpt 36568 and 36569 have been revised to indicate that they represent a picc line insertion without imaging guidance. Non tunneled picc under 5 36568 or 36572 36575 36584 code e m non tunneled picc 5 older. 36568 age 5. 36576 removal any age.

Simple removal the catheter is no longer needed. 36575 36584. Insertion placement of catheter through a newly established venous access 1. Removal any age remov code e m complete replacement any age.

Femoral or jugular vein. Tunneled catheter removal tunneled catheter removal is performed under two circumstances. It is being removed not to be immediately replaced catheter exchange the catheter need is continuing but it must be exchanged with a new catheter tunneled catheter removal the code for tunneled catheter removal is 36589 the descriptor for this code is removal of tunneled central venous catheter without subcutaneous port or pump tunneled. The only difference between tunneled catheter removal cpt codes is the presence or absence of subcutaneous port or pump.

Purposes 36590 tunneled only 36410 w imaging midline start insertion. 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. Code e m complete replacement any age. 36584 w imaging or 37799 w o imaging repair any age.

Medicare 2019 national average payment not geographically adjusted service. It the removal of catheter is done without subcutaneous pump or port we will code 36589. If the removal of catheter is done with subcutaneous pump or port we will code 36590. Tunneled with port under 5 36570 36576 36578 36585 36590 tunneled with port 5 older 36571 36576 36578 36585 36590.

See picc notes below for applicable instructions.