2025 CPT code 36582

Complete replacement of a tunneled central venous access device with a subcutaneous port through the same venous access site.

Adhere to CPT coding guidelines for central venous access procedures, ensuring accurate representation of the services provided and the type of device involved.

Modifiers may be applicable depending on the circumstances of the procedure. Consult the official CPT guidelines and local payer policies for specific modifier usage.

Medical necessity is established by the need for a complete device replacement due to functional failure, complications, or the presence of infection. The documentation should clearly demonstrate the clinical indication for the procedure.

The physician is responsible for the entire procedure, including anesthesia administration (if applicable), removal of the old device, insertion of the new device, and closure of the incision site.This may involve collaboration with other healthcare professionals such as nurses and radiology technicians.

IMPORTANT Related codes include 36583 (complete replacement of tunneled central venous access device with subcutaneous pump), and 36580, 36581, 36584 (complete replacement with various imaging guidance options).

In simple words: This code covers replacing a long-term intravenous (IV) tube and its connected port completely. The old tube and port are removed, and a new set is put in the same place in a vein. This is done if the old tube or port is blocked, damaged, or not working correctly.

This CPT code encompasses the complete replacement of a tunneled, centrally inserted central venous access device, inclusive of a subcutaneous port, performed through the same venous access site.The procedure involves the removal of the existing device and its complete replacement with a new device, maintaining the original venous access point.This is indicated in cases of blockage, damage, or malfunction of the existing device.

Example 1: A patient with a tunneled central venous access device experiences catheter occlusion requiring complete device replacement., A patient's tunneled central venous access device malfunctions due to mechanical failure or damage, necessitating complete replacement., A patient requires a complete replacement of their tunneled central venous access device with a subcutaneous port due to infection at the access site.

Comprehensive documentation should include the reason for replacement (e.g., occlusion, malfunction, infection), type of device (tunneled, with port), imaging results (if used), details of the procedure, and post-operative course.Preoperative and postoperative images may be required.

** The provided text does not contain any additional notes beyond what is included above.

  • Revenue Code: P6C (Minor Procedures - Other)
  • RVU: This information is not available in the provided text.RVUs are subject to change and vary depending on location and payer.
  • Global Days : Global period information is not explicitly provided for this code. Consult local and payer-specific guidelines.
  • Payment Status: Active
  • Modifier TC rule: The provided text does not specify the applicability of a Technical Component (TC) modifier for this code. Refer to the specific payer's guidelines.
  • Fee Schedule : Historical fee schedule data is not available in the provided information.Consult fee schedules from relevant payers and/or Medicare.
  • Specialties:Vascular Surgery, Interventional Radiology, Oncology
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
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