Cpt Code For Central Venous Line Removal

Partial replacement cpt 36578.

Cpt code for central venous line removal.

Cpt codes 36555 36569 describe the insertion of non tunneled and tunneled centrally inserted central venous catheter s. If the removal of catheter is done with subcutaneous pump or port we will code 36590. 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 age of patient.

Greater or less than 5 years old must be identified. Complete replacement cpt 36580 36585. Device removal codes cpt codes 36589 and 36590 central venous access device are reported for the removal of a tunneled central venous catheter. It the removal of catheter is done without subcutaneous pump or port we will code 36589.

Transmittal 1760 cms. Here are a few of the determining factors you need to consider to choose the right code. 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 revisions to 36568 36569 and 36584 and the additions of 36572 36573 make guidance bundling issues much clearer.

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. Repair cpt 36575 36576. The imaging codes are add on codes to the main procedure performed. 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.

Imaging guidance including ultrasound or fluoroscopy can be reported in addition to the procedure. Teaching care for and maintenance of peripheral and central venous lines and. Non tunneled catheter removal cpt code. Mechanical removal codes cpt codes 36595 and 36596 are reported for the removal of obstructed material.

What is the cpt code for a picc peripherally inserted central venous catheter line placement. This new list of codes identifies several factors that should guide the codes you use when you insert central venous catheters. The only difference between tunneled catheter removal cpt codes is the presence or absence of subcutaneous port or pump.