CPT Code 36800 | Description & Clinical Information
CPT 36800 describes the insertion of a cannula into two veins to facilitate hemodialysis, a medical procedure that involves the use of a dialysis machine to remove harmful wastes, salt, and fluids from the patient’s blood, and then reintroduce the purified blood back into the patient’s circulation.
Official Description
The CPT book defines CPT code 36800 as: “Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein”.
Clinical Information
The procedure described by CPT code 36800 entails a minimally invasive technique for connecting two veins in the arm or forearm, providing veintovein access for hemodialysis. Typically conducted under local anesthesia, the patient must be appropriately prepped to avoid infection and discomfort during the procedure.
The provider starts by selecting an access point on the arm or forearm for tube insertion. Once the access point is identified, the provider cleans the area with an antiseptic solution to ensure the site is free from bacteria. He then carefully inserts a needle into two parallel veins in the area.
Using the needle or a guide wire, the provider gently advances an end of a single cannula into each vein. The specially designed cannula allows the blood to flow from one vein to the other, enabling hemodialysis to occur. Once the cannula is properly secured, the patient’s blood flows out of one end of the tube, into a dialysis machine, and back into the body through the other end of the tube.
The provider may leave the cannula in place for several days to ensure the patient receives optimal treatment. Proper care of the cannula site is necessary to prevent infection, including keeping the site clean and dry and monitoring it for any signs of redness, swelling, or discharge. It is also important to avoid putting any strain or pressure on the cannula site, which can cause it to dislodge or become dislodged.
Overall, the CPT code 36800 procedure offers a safe and effective way to provide veintovein access for hemodialysis. Its minimally invasive approach reduces patient discomfort and allows for quicker recovery times. Patients undergoing this procedure can expect a significant improvement in their quality of life and overall health. The importance of proper care and monitoring of the cannula site cannot be overstated, as it is critical in preventing infections and other complications.
