2025 CPT code 36563
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Cardiovascular System - Central Venous Access Device Insertion Surgery Feed
Insertion of a tunneled, centrally inserted central venous access device with a subcutaneous pump.
Modifiers may be applicable depending on the circumstances of the procedure.Consult the CPT codebook and NCCI edits for guidance on modifier use.
The medical necessity for a tunneled central venous access device with a subcutaneous pump should be documented and justified by the patient's clinical condition. This may include conditions requiring long-term intravenous therapy, such as chemotherapy, TPN, or frequent blood draws. Documentation should clearly show the benefits outweigh the risks of the procedure.
The physician is responsible for the insertion and placement of the tunneled central venous catheter with the subcutaneous pump, including anesthesia administration (if applicable), incision creation, tunnel creation, catheter insertion, pump implantation, and wound closure.Post-operative care and follow-up may be coded separately.
In simple words: This code describes a surgery to place a long, thin tube (catheter) into a large vein near the heart. The tube is placed under the skin to deliver medicines or nutrients, and it's connected to a small pump implanted under the skin.
This CPT code 36563 represents the insertion of a tunneled, centrally inserted central venous access device that includes a subcutaneous pump.The procedure involves creating a subcutaneous tunnel, inserting the catheter into a central vein (such as the subclavian, brachiocephalic, or iliac vein, superior or inferior vena cava, or right atrium), and implanting a subcutaneous pump to which the catheter is connected.The procedure may involve the use of fluoroscopic guidance, which should be coded separately if used.
Example 1: A patient with advanced cancer requiring long-term chemotherapy needs a central venous access device for easy intravenous administration of medications. The physician chooses a tunneled catheter with a subcutaneous pump to reduce the risk of infection and improve patient comfort., A patient with severe nutritional deficiencies needs total parenteral nutrition (TPN). A tunneled central venous catheter with a subcutaneous pump is preferred for long-term TPN delivery, providing reliable access and reduced risk of complications., A patient undergoing frequent blood draws and transfusions due to a hematologic disorder benefits from a tunneled central venous access device with a subcutaneous pump to avoid repeated venipunctures and minimize discomfort.
Complete operative report detailing the procedure, including the type of catheter used, the location of the venous access, the presence of a subcutaneous pump, and any complications.Pre-operative and post-operative diagnoses.Imaging studies (if used), including fluoroscopy or ultrasound, should be documented and separately coded.Consent form for the procedure.
** Always refer to the current CPT codebook and coding guidelines for the most up-to-date information and specific instructions.Accurate coding requires thorough documentation of the procedure and patient's clinical status.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier may be applicable to this code. Refer to the CPT codebook and NCCI edits for more detail.
- Specialties:Vascular Surgery, Interventional Radiology, Oncology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center