Cpt Code For Removal Of Tunneled Picc Line

If the removal of catheter is done with subcutaneous pump or port we will code 36590.

Cpt code for removal of tunneled picc line. It the removal of catheter is done without subcutaneous pump or port we will code 36589. 36576 removal any age. The age of patient. Cpt codes 36555 36569 describe the insertion of non tunneled and tunneled centrally inserted central venous catheter s.

36575 36584. The only difference between tunneled catheter removal cpt codes is the presence or absence of subcutaneous port or pump. 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. 36584 w imaging or 37799 w o imaging repair any age.

Greater or less than 5 years old must be identified. 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. Cpt 36568 and 36569 have been revised to indicate that they represent a picc line insertion without imaging guidance. Insertion placement of catheter through a newly established venous access 1.

Code e m complete replacement any age. Medicare 2019 national average payment not geographically adjusted service. 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. Non tunneled picc under 5 36568 36575 36584 code e m non tunneled picc 5 older 36569 36575 36584 code e m tunneled with port under 5 36570 36576 36578 36585 36590 tunneled with port 5 older 36571 36576 36578 36585 36590 the procedures involving central venous access devices fall into five categories.

Simple removal the catheter is no longer needed. See picc notes below for applicable instructions. Non tunneled catheter removal cpt code. Purposes 36590 tunneled only 36410 w imaging midline start insertion.

Femoral or jugular vein. Tunneled catheter removal tunneled catheter removal is performed under two circumstances. 36568 age 5. Removal any age remov code e m complete replacement any age.

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.