Cpt Code For Removal Of Tunneled Picc Line

Codes 36568 and 36569 are reported when no imaging guidance is used to place the picc line meaning no guidance is used to identify and or enter potential venous access sites and no guidance is used to confirm the final position of the picc line.

Cpt code for removal of tunneled picc line. Non tunneled catheter removal cpt code. Tunneled catheter removal tunneled catheter removal is performed under two circumstances. 36575 36584. Cpt code4 cpt description p 4 non facility1 facility p 1 0b36568 subcutaneous port or pump without imaging guidance.

Younger than 5 insertion of peripherally inserted central venous catheter picc without years of age 98 72 98 72 5181 level 1 vascular procedures t 630 44 318 59 a2 1b36569. The age of patient. Simple removal the catheter is no longer needed. The removal of a broviac catheter would be coded as 02py33z removal from the great vessel and 0jpt3xz removal of the tunneled portion from the subcutaneous layer of the trunk.

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. The internal jugular tunneled catheter consists of two parts an infusion port and catheter. Greater or less than 5 years old must be identified. Non tunneled picc under 5 36568 or 36572 36575 36584 code e m non tunneled picc 5 older.

When imaging is used for these procedures either for gaining access to the venous entry site or for manipulating the catheter into final central. It the removal of catheter is done without subcutaneous pump or port we will code 36589. Tunneled with port under 5 36570 36576 36578 36585 36590 tunneled with port 5 older 36571 36576 36578 36585 36590. If the removal of catheter is done with subcutaneous pump or port we will code 36590.

Review clinical indications and techniques used to insert a central. The only difference between tunneled catheter removal cpt codes is the presence or absence of subcutaneous port or pump. Cpt 36584 was also revised. 02py33z removal of infusion device from great vessel percutaneous approach for removal of the infusion portion of the catheter.

Coding central venous access devices ahima 2008 audio seminar series 1 notes comments questions objectives of this seminar.