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2025 CPT code 36570

Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age.

This code should not be used for insertion of a tunneled central venous access device. Different codes apply based on patient age and whether imaging guidance is used.

Modifiers may be applicable to this code to indicate specific circumstances of the procedure, such as increased procedural services (22) or bilateral procedures (50).

Medical necessity for this procedure should be supported by documentation of the patient's condition requiring long-term intravenous therapy and the rationale for choosing a PICC with a port.

After preparing and anesthetizing the patient, the physician makes a small incision over a vein in the arm or forearm and inserts a guidewire. Using imaging guidance, a central venous catheter is inserted and advanced over the guidewire until it reaches the superior vena cava. A separate incision is made to create a pocket under the skin for the port, which is then inserted and connected to the catheter. Both incisions are closed with sutures.

IMPORTANT For patients 5 years or older, use 36571. For PICC insertion without imaging guidance or port in patients younger than 5, use 36568. For those 5 and older, use 36569. For PICC with imaging guidance and all RS&I without a port, use 36572 for patients younger than 5, and 36573 for patients 5 and older. For tunneled centrally inserted central venous access devices with a subcutaneous port in patients younger than 5, use 36560.

In simple words: A doctor inserts a thin, flexible tube into a vein in the child's arm. This tube goes up to a larger vein near the heart. A small, disc-shaped port is placed under the skin, connected to the tube, allowing easy access for giving medications or nutrients over a long period.

This code describes a procedure where a peripherally inserted central venous catheter (PICC) is placed in a patient younger than 5 years old, along with a subcutaneous port. This allows for long-term intravenous therapy.

Example 1: A 3-year-old child with a chronic illness requiring long-term intravenous medication receives a PICC with a port for easier administration., A 4-year-old patient undergoing chemotherapy needs a central venous access device for repeated infusions. A PICC with a port is chosen for its ease of access and reduced risk of infection compared to repeated needle sticks., An infant with short bowel syndrome requires long-term parenteral nutrition. A PICC with a port is placed to facilitate the administration of nutrients.

Documentation should include the type of catheter and port used, the insertion site, confirmation of placement using imaging, and any complications encountered during the procedure.

  • Specialties:Interventional Radiology, Pediatric Surgery, Vascular Surgery
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
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