2025 CPT code 36589
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiovascular Surgery - Removal of Central Venous Access Device Surgery Feed
Removal of a tunneled central venous catheter without a subcutaneous port or pump.
Modifiers may be applicable depending on the circumstances of the procedure. Refer to CPT guidelines for modifier usage.
Medical necessity for removal of a tunneled central venous catheter is established when the catheter is no longer needed for intravenous therapy or when complications (infection, thrombosis, etc.) arise.Documentation must clearly show the reason for removal and that it is in the patient's best interest.
The physician is responsible for administering anesthesia (local or general), performing the catheter removal (including incision and dissection if necessary), achieving hemostasis, and closing the wound. Post-procedure care and antibiotic application are also the physician's responsibility.
In simple words: This code covers the removal of a long-term intravenous tube (catheter) that's placed under the skin and goes into a large vein.The doctor will remove the tube, which may involve a small cut. The procedure includes cleaning and closing the area afterwards.
This CPT code encompasses the removal of a tunneled central venous access device that does not include a subcutaneous port or pump. The procedure involves the removal of the catheter, often requiring incision and dissection of the surrounding tissue, particularly if the catheter has been in place for an extended period.Post-procedure care, including hemostasis and wound closure, is included.Imaging guidance may be separately reported if used.
Example 1: A patient with a tunneled central venous catheter used for long-term chemotherapy treatment requires catheter removal after the completion of their therapy., A patient with a tunneled central venous catheter experiencing complications such as infection or thrombosis needs immediate catheter removal., A patient who has had a tunneled central venous catheter in place for several months and no longer requires venous access requires catheter removal.
Complete medical history, indication for catheter placement, date of catheter insertion,details of any complications during the catheter's use, operative report including details of the removal procedure (anesthesia type, incision, dissection techniques, hemostasis measures, wound closure), and post-operative instructions.
** This code does not include the removal of obstructive material from the device (codes 36595 and 36596 apply in those instances).The removal of the catheter from a multi-catheter system requires additional coding considerations, see CPT guidelines.
- Revenue Code: P6C (Medicare Fee Schedule: MINOR PROCEDURES - OTHER)
- RVU: Data not available in sources. Refer to the AMA CPT codebook for RVU information.
- Global Days : Data not available in sources.
- Payment Status: Active
- Modifier TC rule: Data not available in sources.
- Fee Schedule : Data not available in sources.Fee schedules vary by payer and location.
- Specialties:Oncology, Hematology, Vascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center