Cpt Code For Removal Of Tunneled Picc Line

The age of patient.

Cpt code for removal of tunneled picc line. 36568 age 5. 36575 36584. 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. 36576 removal any age.

See picc notes below for applicable instructions. 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. Insertion placement of catheter through a newly established venous access 1. Tunneled with port under 5 36570 36576 36578 36585 36590 tunneled with port 5 older 36571 36576 36578 36585 36590.

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. Purposes 36590 tunneled only 36410 w imaging midline start insertion. Medicare 2019 national average payment not geographically adjusted service. Greater or less than 5 years old must be identified.

36584 w imaging or 37799 w o imaging repair any age. Removal any age remov code e m complete replacement any age. 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 codes 36555 36569 describe the insertion of non tunneled and tunneled centrally inserted central venous catheter s.

The only difference between tunneled catheter removal cpt codes is the presence or absence of subcutaneous port or pump. Cpt 36568 and 36569 have been revised to indicate that they represent a picc line insertion without imaging guidance. Non tunneled catheter removal cpt code. 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.

Non tunneled picc under 5 36568 or 36572 36575 36584 code e m non tunneled picc 5 older. Simple removal the catheter is no longer needed. If the removal of catheter is done with subcutaneous pump or port we will code 36590. Code e m complete replacement any age.

It the removal of catheter is done without subcutaneous pump or port we will code 36589.