2025 CPT code 36584
(Active) Effective Date: N/A Surgical Procedures on the Cardiovascular System - Cardiovascular System Surgery Feed
Complete replacement of a peripherally inserted central venous catheter (PICC) without subcutaneous port or pump, through the same venous access, including imaging guidance, documentation, and radiological supervision and interpretation.
Modifiers may apply based on specific circumstances (e.g. increased procedural services, reduced services).
Medical necessity for 36584 must be supported by documentation demonstrating the clinical need for PICC line replacement, such as infection, malfunction, or the need for a different type of catheter.
The physician is responsible for prepping and anesthetizing the patient, removing the old PICC line, inserting and guiding the new catheter into the correct position using imaging guidance, controlling bleeding, irrigating the insertion site, and ensuring proper documentation.
In simple words: The doctor completely replaces a peripherally inserted central catheter (PICC line) using the same entry point in the vein.Imaging technology is used to guide the process and ensure correct placement. This procedure doesn't include putting in a port or pump under the skin.
This procedure involves the complete removal and replacement of a peripherally inserted central venous catheter (PICC) through the same venous access site. It includes all necessary imaging guidance, image documentation, and radiological supervision and interpretation.The procedure does not involve the placement of a subcutaneous port or pump.
Example 1: A patient with a PICC line develops a bloodstream infection requiring the complete replacement of the catheter., A patient's PICC line malfunctions due to a clot or damage, necessitating replacement., A patient requires a longer-term PICC line and the current one needs to be exchanged for a new one.
Documentation should include details of the existing PICC line, the reason for replacement, the insertion procedure, confirmation of placement via imaging, any complications, and post-procedure care.
- Revenue Code: P6C - MINOR PROCEDURES - OTHER (MEDICARE FEE SCHEDULE)
- Payment Status: Active
- Specialties:Interventional Radiology, Vascular Surgery, Critical Care Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Office