Cpt Code For Central Venous Line Removal
The imaging codes are add on codes to the main procedure performed.
Cpt code for central venous line removal. 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. This new list of codes identifies several factors that should guide the codes you use when you insert central venous catheters. Partial replacement cpt 36578. 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.
Device removal codes cpt codes 36589 and 36590 central venous access device are reported for the removal of a tunneled central venous catheter. Imaging guidance including ultrasound or fluoroscopy can be reported in addition to the procedure. Non tunneled catheter removal cpt code. Here are a few of the determining factors you need to consider to choose the right code.
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. Greater or less than 5 years old must be identified. Cpt codes 36555 36569 describe the insertion of non tunneled and tunneled centrally inserted central venous catheter s. Repair cpt 36575 36576.
The age of patient. Mechanical removal codes cpt codes 36595 and 36596 are reported for the removal of obstructed material. 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. Complete replacement cpt 36580 36585.
What is the cpt code for a picc peripherally inserted central venous catheter line placement. The only difference between tunneled catheter removal cpt codes is the presence or absence of subcutaneous port or pump. Teaching care for and maintenance of peripheral and central venous lines and. If the removal of catheter is done with subcutaneous pump or port we will code 36590.
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. 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. Transmittal 1760 cms.