How To Use CPT Code 36570

CPT 36570 describes the insertion of a peripherally inserted central venous access device with a subcutaneous port in patients who are younger than five years old. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 36570?

CPT 36570 can be used to describe the insertion of a peripherally inserted central venous access device with a subcutaneous port in patients who are younger than five years old. This code is used when a healthcare provider inserts a central venous catheter peripherally through a vein in the arm and creates a subcutaneous port for long-term intravenous therapy.

2. Official Description

The official description of CPT code 36570 is: ‘Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age.’ Please note that for the insertion of a tunneled centrally inserted central venous access device with a subcutaneous port in patients younger than five years old, CPT code 36560 should be used.

3. Procedure

1. The healthcare provider prepares the patient and administers anesthesia.
2. A small incision is made over a vein in the arm or forearm.
3. A guidewire is inserted into the vein under imaging guidance.
4. The central venous catheter is advanced over the guidewire until it reaches the superior vena cava.
5. An incision is made in the chest or arm to create a separate pocket for the subcutaneous port.
6. The port is inserted into the pocket and connected to the catheter.
7. The incision sites are closed with sutures.

4. Qualifying circumstances

CPT 36570 is used for patients who are younger than five years old and require a peripherally inserted central venous access device with a subcutaneous port for long-term intravenous therapy. This procedure is typically performed when other forms of venous access are not suitable or feasible for the patient.

5. When to use CPT code 36570

CPT code 36570 should be used when a healthcare provider inserts a peripherally inserted central venous access device with a subcutaneous port in a patient who is younger than five years old. It is important to ensure that the patient meets the age criteria and that the procedure involves the insertion of both the central venous catheter and the subcutaneous port.

6. Documentation requirements

To support a claim for CPT 36570, the healthcare provider must document the following information:

• Patient’s age and need for a peripherally inserted central venous access device with a subcutaneous port
• Date of the procedure
• Details of the procedure, including the specific veins accessed, use of imaging guidance, and any complications encountered
• Description of the central venous catheter and subcutaneous port used
• Incision sites and closure method
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 36570, ensure that the procedure is performed on a patient who is younger than five years old and involves the insertion of both the central venous catheter and the subcutaneous port. It is important to follow any additional guidelines provided by the payer or coding guidelines specific to your region.

8. Historical information

CPT 36570 was added to the Current Procedural Terminology system on January 1, 2004. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider inserts a peripherally inserted central venous access device with a subcutaneous port in a four-year-old patient who requires long-term intravenous therapy.
2. A pediatric surgeon performs the procedure on a three-year-old patient who needs a central venous access device for chemotherapy administration.
3. An anesthesiologist inserts a peripherally inserted central venous access device with a subcutaneous port in a two-year-old patient who requires prolonged antibiotic therapy.
4. A pediatric interventional radiologist performs the procedure on a five-month-old patient who needs a central venous access device for total parenteral nutrition.
5. A pediatric hematologist inserts a peripherally inserted central venous access device with a subcutaneous port in a one-year-old patient who requires frequent blood transfusions.
6. A pediatric oncologist performs the procedure on a four-year-old patient who needs a central venous access device for stem cell transplantation.
7. A pediatric surgeon inserts a peripherally inserted central venous access device with a subcutaneous port in a three-year-old patient who requires long-term intravenous antibiotics.
8. An anesthesiologist performs the procedure on a six-month-old patient who needs a central venous access device for pain management.
9. A pediatric interventional radiologist inserts a peripherally inserted central venous access device with a subcutaneous port in a two-year-old patient who requires frequent blood tests.
10. A pediatric hematologist performs the procedure on a five-year-old patient who needs a central venous access device for immunoglobulin therapy.