2025 CPT code 36596
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen.
Yes, applicable modifiers exist. Refer to the source material for specifics.
Medical necessity is established by the presence of an intraluminal obstruction in a central venous device that impairs its function.
The provider inserts a balloon catheter or other instruments into the central venous access device (CVAD), and removes the disrupting material to facilitate normal flow within the catheter lumen.
In simple words: The doctor uses a tiny balloon or other tools to clear a blockage inside a central line (a tube used for giving medicine or fluids directly into a large vein). This helps the medicine or fluids flow properly again.
The physician inserts a wire, balloon catheter, or other instruments through the outer opening and into the lumen (interior channel) of a central venous device and pushes or pulls out the obstructive material. This procedure facilitates normal flow within the catheter lumen.
Example 1: A patient with a PICC line experiences difficulty with infusions due to a blockage. The physician uses a balloon catheter to remove the obstruction, restoring normal flow., A patient's central venous catheter is occluded by a fibrin sheath. The physician mechanically removes the sheath, allowing for continued use of the catheter., A patient with a port-a-cath experiences difficulty flushing the device.A physician uses a wire to remove an intraluminal obstruction, restoring patency.
Documentation should include the type of central venous access device, the method used to remove the obstruction, and the result of the procedure.If imaging guidance is used, that should also be documented.
- Specialties:Interventional Radiology, Vascular Surgery, Critical Care Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Skilled Nursing Facility, Nursing Facility