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2025 CPT code 36568

Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age.

When imaging guidance is used, different codes apply (e.g., 36572). This code is specific to patients younger than 5 years old.For patients 5 years and older, use 36569.

Modifiers can be applied to this code to indicate specific circumstances, such as increased procedural services (modifier 22) or reduced services (modifier 52).

Medical necessity for a PICC line is established when a patient requires mid- to long-term intravenous access for medications, fluids, or blood draws. This is particularly relevant for patients with difficult venous access or those who require frequent or continuous infusions.

In simple words: A doctor inserts a thin, flexible tube into a vein in a child's arm. This tube goes up to a large vein near the heart. This makes it easier to give medicines, fluids, or take blood samples without repeated needle sticks.

This code describes the insertion of a peripherally inserted central catheter (PICC) in patients younger than 5 years old.It does not include a subcutaneous port or pump, nor does it include imaging guidance. The procedure involves inserting a long, thin catheter into a peripheral vein, typically in the arm, and advancing it until the tip rests in a large central vein near the heart. This allows for administration of medications, fluids, and frequent blood draws.

Example 1: A 3-year-old child with a severe infection requires long-term intravenous antibiotics. A PICC line is inserted to avoid the need for frequent, painful needle sticks for IV access., A 1-year-old infant needs total parenteral nutrition (TPN) because they cannot absorb nutrients through their digestive system. A PICC line is placed to administer the TPN., A 4-year-old child with cancer requires regular chemotherapy treatments. A PICC line is inserted to provide reliable venous access for the chemotherapy drugs.

Documentation should include the date of insertion, type of catheter inserted, site of insertion, confirmation of catheter tip placement (if performed), and any complications encountered during the procedure. Medical necessity for the PICC line should also be documented.

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