2025 CPT code 36000
Introduction of needle or intracatheter into a vein.
Modifier 59 may be used to indicate a distinct procedural service, such as separate venipunctures performed on the same day for different purposes.
Medical necessity is established when venous access is required, and the physician's skill is necessary due to factors such as patient anatomy, clinical condition, or failed prior attempts.
The physician sterilizes the insertion site, may administer local anesthesia, and inserts the needle or intracatheter into the vein.
In simple words: Insertion of a needle or a small, flexible tube into a vein.
This code describes the introduction of a needle or intracatheter into a vein for any purpose, including administering fluids, anesthesia, or introducing other instruments.
Example 1: A patient requires intravenous access for fluid administration, and a nurse is unable to establish access, so the physician inserts an intracatheter., A patient requires intravenous anesthesia, and the physician introduces a needle into a vein for administration., A patient needs intravenous contrast for a radiological procedure, and the physician introduces a needle into the vein for injection.
Documentation should support the medical necessity for physician-performed venipuncture, such as failed attempts by nursing staff or specific patient circumstances requiring physician skill.
** Code 36000 is specific to the introduction of a needle or intracatheter into a vein, not for blood draws (use 36415) or arterial access.
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital,Ambulatory Surgical Center, Emergency Room - Hospital, Office, Home, Other Place of Service