2025 CPT code 36585
(Active) Effective Date: N/A Revision Date: N/A Surgery - Central Venous Access Procedures Surgery Feed
Complete replacement of a peripherally inserted central venous access device with a subcutaneous port, through the same venous access site.
Modifiers may be applicable depending on the circumstances of the procedure. Examples include modifier 22 for increased procedural services, or other modifiers as clinically indicated.
Medical necessity for replacement of a central venous access device is established by documentation of the need for continued intravenous therapy and the failure of the existing device to function properly or due to complications such as infection or malfunction.Payer-specific criteria may apply.
The physician is responsible for the complete procedure, including removal of the old device, insertion of the new device, and ensuring proper placement and function.This may involve pre-procedure assessment, anesthesia administration (if necessary), post-procedure monitoring, and appropriate documentation.
In simple words: This code describes replacing a central venous catheter (a tube placed in a large vein to deliver medication or fluids) and its attached port (a small device under the skin). The old ones are taken out, and new ones are put in through the same vein.
This CPT code encompasses the complete replacement of a peripherally inserted central venous access device (PICC) that includes a subcutaneous port, performed through the same venous access site.The procedure involves the removal of the existing catheter and port, followed by the insertion of a new catheter and port through the same vein.This is typically indicated when the existing device malfunctions, becomes infected, or exhibits signs of phlebitis.
Example 1: A patient with a peripherally inserted central venous catheter (PICC) line develops an infection at the insertion site.The physician removes the infected line and replaces it with a new PICC line and port through the same vein., A patient's PICC line malfunctions, causing difficulties with medication delivery.The physician performs a complete replacement of the PICC line and port, using the same venous access site., A patient's PICC line becomes occluded and cannot be cleared with thrombolytic therapy. A complete replacement of the device is necessary. The procedure is performed through the same venous access site.
* Pre-procedure assessment of the patient's condition and need for replacement.* Detailed documentation of the procedure performed, including the type of device used (catheter and port specifics).* Post-procedure assessment of the device placement and functionality.* Imaging studies (if performed) showing the correct placement of the new device.* Reason for replacement (e.g., infection, malfunction, occlusion).
** The specific type of catheter and port used should be documented.This procedure may be bundled with other services depending on payer policy.Always verify with the payer for specific reimbursement guidelines.
- RVU: Refer to CMS guidelines and local payer contracts for RVU values and reimbursement rates.These values vary based on location, facility type (inpatient/outpatient), and other factors.
- Global Days : The global period for this procedure may vary depending on payer and local guidelines.Consult relevant documentation for specific details.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not typically applicable to this procedure as it encompasses the entire service.
- Fee Schedule : Historical fee schedule data is not readily available through this source.Consult historical CPT data or fee schedules from payers for detailed information.
- Specialties:Vascular Surgery, Interventional Radiology, Oncology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center