Procedure Code For Central Line Removal

Add sterile scissors or additional chlorhexidine for removal of securement device.

Procedure code for central line removal. Imaging guidance including ultrasound or fluoroscopy can be reported in addition to the procedure. If introducer is being removed use procedure for removal of a temporary central venous catheter. Add sterile 4 x 4 gauze and occlusive dressing to. 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.

Lower head of bed. The information provided herein reflects cook s understanding of the procedure s and or device s from sources that may include but are not limited to the cpt. Ask the patient to breath hold during removal or remove. Cpt codes 36595 and 36596 are reported for the removal of obstructed material.

Cpt states that a vascular line is a picc line when it is inserted in a peripheral vein e g basilic cephalic or saphenous vein and when it terminates in a central vein i e subclavian vein brachiocephalic innominate veins iliac veins the superior or inferior vena cava or the right atrium. For central venous catheter clotting profile if the patient is taking warfarin ensure the inr 3 0 prior to removal a platelet count of 50 x10٩ litres if the patient is due to commence dabigatran remove the central line prior to commencing. Greater or less than 5 years old must be identified. If the patient has been receiving dabigatran stop it 48hrs prior to removal.

Don non sterile gloves and mask with face shield. Remove the final segment of the catheter and quickly apply the obturator cap as soon as removal is completed. Cpt codes 36589 and 36590 central venous access device are reported for the removal of a tunneled central venous catheter. What is the cpt code for a picc peripherally inserted central venous catheter line placement.

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. Complete dressing change as per procedure for central line dressing change. The age of patient. Apply dry gauze over insertion site and gently attempt to withdraw the catheter 2 5 cm to assess for easy of removal.

Position insertion site below the patient s heart level or use trendelenberg posiiton if tolerated.