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2025 CPT code 36011

Selective catheter placement in a first-order branch vein (e.g., renal or jugular vein).

Follow the guidelines provided in the CPT manual concerning selective catheterizations. The code should accurately reflect the highest order vessel reached and include all lesser-order catheterizations involved in the approach.Multiple catheterizations within the same vascular family are reported using specific add-on codes. Distinct vascular families necessitate separate codes.

Modifiers may apply depending on the circumstances of the procedure.Consult the CPT manual and NCCI edits for specific modifier guidelines.

Medical necessity will be determined by the clinical indication for the procedure, such as the diagnosis and treatment of venous thrombosis, central venous catheter malfunction, or suspected superior vena cava syndrome.Documentation should clearly support the medical necessity for the procedure.

The physician is responsible for patient preparation, anesthesia administration (if applicable), catheter insertion, contrast media administration (if applicable), catheter advancement to the target vessel, and post-procedure care.Depending on the setting, this may involve collaboration with other healthcare professionals like nurses and radiologists.

IMPORTANT:Additional codes may be necessary to report other services performed during the procedure, such as imaging or anesthesia.For multiple catheterizations within the same vascular family, codes 36012, 36218, or 36248 may be appropriate.If another vascular family is accessed, additional first-order catheterization codes should be used.

In simple words: The doctor inserts a thin tube (catheter) into a major vein in the body (like the one near the kidney or in the neck) to check for problems or give medicine.

This CPT code encompasses the selective catheter placement into a first-order branch vein, such as the renal vein or jugular vein.The procedure involves the introduction of a catheter into the vein, and may include the use of contrast media for visualization.It is typically performed for diagnostic or therapeutic purposes, such as administering medications or obtaining samples.

Example 1: A patient presents with suspected renal vein thrombosis.The physician performs a selective catheterization of the renal vein to administer thrombolytic therapy., A patient with central venous catheter malfunction requires the placement of a new catheter in the internal jugular vein for intravenous medication delivery., A patient with suspected superior vena cava syndrome undergoes a venogram of the superior vena cava and its tributaries.This involves selective catheterization of multiple vessels in order to adequately visualize the venous anatomy.

Detailed history and physical examination,informed consent,pre-procedure imaging (if performed),details of the catheterization procedure (including vessel accessed, catheter type, contrast media used, and any complications),post-procedure imaging (if performed), and post-procedure monitoring data.

** Accurate coding requires careful consideration of the specific vessels accessed and the complexity of the procedure.Documentation must clearly support the services reported.Always consult the most current CPT manual and NCCI edits for proper coding and billing practices.

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