How To Use CPT Code 36576

CPT 36576 describes the repair of a central venous access device with a subcutaneous port or pump that was previously placed either centrally or peripherally in a patient. 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 36576?

CPT 36576 can be used to describe the repair of a central venous access device with a subcutaneous port or pump that was previously placed either centrally or peripherally in a patient. This code is used when the provider examines and repairs the catheter without replacing any of the defective components of the device.

2. Official Description

The official description of CPT code 36576 is: ‘Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. The provider examines the central venous access device and the attached internal access port or pump in the subcutaneous pocket.
3. The provider repairs the central venous access device without replacing any of the defective components.
4. The procedure may involve the use of imaging guidance, such as fluoroscopy or ultrasound, to assist in positioning the catheter and other items.
5. The provider ensures that the repaired device is functioning properly before completing the procedure.

4. Qualifying circumstances

Patients eligible to receive CPT 36576 services are those who have a central venous access device with a subcutaneous port or pump that requires repair. The device may have been placed either centrally or peripherally in a prior procedure. The provider must examine and repair the device without replacing any of the defective components.

5. When to use CPT code 36576

CPT code 36576 should be used when the provider is repairing a central venous access device with a subcutaneous port or pump that was previously placed either centrally or peripherally. This code should not be used if the provider is replacing any of the defective components of the device.

6. Documentation requirements

To support a claim for CPT 36576, the provider must document the following information:

• Description of the central venous access device and the subcutaneous port or pump
• Location of the device (central or peripheral insertion site)
• Details of the repair procedure, including any imaging guidance used
• Confirmation that no components of the device were replaced
• Signature of the provider performing the repair

7. Billing guidelines

When billing for CPT 36576, ensure that the provider is repairing a central venous access device with a subcutaneous port or pump that was previously placed either centrally or peripherally. This code should not be reported if any components of the device are replaced. There are no specific guidelines regarding reporting CPT 36576 with other codes.

8. Historical information

CPT 36576 was added to the Current Procedural Terminology system on January 1, 2004. There have been no updates to the code since its addition.

9. Examples

1. A provider repairs a central venous access device with a subcutaneous port that was previously placed centrally in a patient.
2. A provider repairs a central venous access device with a subcutaneous pump that was previously placed peripherally in a patient.
3. A provider examines and repairs a central venous access device with a subcutaneous port that was previously placed centrally in a patient using imaging guidance.
4. A provider repairs a central venous access device with a subcutaneous pump that was previously placed peripherally in a patient without replacing any of the defective components.
5. A provider repairs a central venous access device with a subcutaneous port that was previously placed centrally in a patient and ensures that the device is functioning properly after the repair.
6. A provider examines and repairs a central venous access device with a subcutaneous pump that was previously placed peripherally in a patient, using imaging guidance to assist in the procedure.
7. A provider repairs a central venous access device with a subcutaneous port that was previously placed centrally in a patient without replacing any of the defective components.
8. A provider repairs a central venous access device with a subcutaneous pump that was previously placed peripherally in a patient and confirms that no components of the device were replaced during the repair.
9. A provider examines and repairs a central venous access device with a subcutaneous port that was previously placed centrally in a patient, documenting the details of the repair procedure and obtaining the necessary signature.
10. A provider repairs a central venous access device with a subcutaneous pump that was previously placed peripherally in a patient, ensuring that the repaired device is functioning properly before completing the procedure.