Endurance catheter code#
New instructions say that CPT codes 36572, 36573, and 36584 cannot be reported with code 76937 (ultrasonic guidance) or 77001 (fluoroscopic guidance). 36584: Complete replacement of a PICC without subcutaneous port or pump, through same venous access, i ncluding all imaging guidance and documentation and all associated radiologic supervision and interpretation required to perform the replacement.
New instructions also say that, when imaging guidance is not used to perform the procedure, the unlisted code 33799 should be reported. This code is not age specific it can be used for all patients, regardless of age. These two new codes have 0 global days based on the 2019 Centers for Medicare and Medicaid Services physician fee schedule database.ĬPT code 36584, for a complete replacement of a PICC without subcutaneous port or pump was revised to include all imaging guidance and documentation and all radiologic supervision and interpretation. 36573: Insertion of PICC without subcutaneous port or pump, including all imaging guidance and documentation and all associated radiologic supervision and interpretation to perform the insertion age 5 years and older.36572: Insertion of PICC without subcutaneous port or pump, including all imaging guidance and documentation and all associated radiologic supervision and interpretation to perform the insertion age younger than 5 years.Two new CPT codes were added to report PICC insertion based on patient’s age without a subcutaneous port or pump. 36569: Insertion of PICC without subcutaneous port or pump without imaging guidance age 5 years and older.36568: Insertion of PICC without subcutaneous port or pump without imaging guidance age younger than 5 years.PICCs placed using magnetic resonance guidance or any other guidance that does not include imaging or image documentation is reported using 36568 or 35569, depending on patient’s age. In addition, an instruction was added to report a PICC insertion with imaging guidance without a port or pump report, using CPT codes 36572 or 36573, depending on patient’s age. An instructional note was added to not report these two codes with CPT 76937 (ultrasonic guidance) or 77001 (fluoroscopic guidance). Central venous catheter insertion is bundled under pediatric codes 99468, 99469, 99471, 99472, 99475, and 99476, while PICC insertion is not bundled for patients of any age. Midline catheters terminate in the peripheral venous system and are not considered central venous catheters, so they cannot be reported as peripherally inserted central catheters (PICCs). The venous access device may be inserted centrally (into the jugular vein, subclavian vein, femoral vein, or inferior vena cava), or peripherally (eg, into the basilic or cephalic vein). To qualify as a central venous catheter or device, the tip of the catheter or device must terminate in the subclavian, brachiocephalic (innominate), or iliac veins the superior or inferior vena cava or the right atrium. Deborah Grider, CPC, CPC-P, CPC-I, COC, CPMA, CEMC, CCS-P, CDIPĬentral venous access procedures, commonly performed in critical care, have undergone a change in CPT 2019.