2025 CPT code 36580

Complete replacement of a non-tunneled, centrally inserted central venous catheter, without subcutaneous port or pump, through the same venous access.

When imaging guidance is used for catheter placement or manipulation, imaging guidance codes may be reported separately, unless the imaging guidance is bundled into the primary procedure code. Refer to current CPT coding guidelines for details.

Modifiers may be applicable to this code in specific circumstances. Refer to current CPT coding guidelines for appropriate modifier usage.

Medical necessity for this procedure is established when the existing central venous catheter is no longer functional or poses a risk to the patient's health, and continued venous access is required for medical treatment.

The physician administers anesthesia, removes the old non-tunneled catheter, and inserts a new one through the same venous access.  The catheter is secured, and the incision site is closed.

In simple words: This procedure involves replacing a tube used for giving medicines or fluids directly into a large vein near the heart. The old tube is removed, and a new one is put in its place through the same opening in the skin. This is done when the old tube isn't working correctly.

This code describes a procedure where a physician completely replaces a non-tunneled central venous catheter (CVC) that does not have a subcutaneous port or pump. The replacement is performed through the same venous access site that was originally used for the initial catheter placement. This procedure is typically performed when the existing catheter is blocked, damaged, or malfunctioning. The procedure involves removing the old catheter and inserting a new one through the same venous access route.

Example 1: A patient's non-tunneled CVC is blocked and needs to be replaced to continue receiving intravenous medications., A patient's CVC is damaged during routine care and requires complete replacement., A patient's CVC is showing signs of infection, necessitating removal and replacement through the same site.

Documentation should include the reason for catheter replacement, confirmation that the same venous access site was used, type of catheter inserted, and any complications encountered during the procedure.

  • Specialties:Interventional radiology, vascular surgery, critical care medicine.
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, and other places of service as appropriate.
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