How To Use CPT Code 36580

CPT 36580 describes the complete replacement of a non-tunneled centrally inserted central venous catheter (CVC) without a subcutaneous port or pump through the same venous access. 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 36580?

CPT 36580 can be used to describe the complete replacement of a non-tunneled CVC without a subcutaneous port or pump through the same venous access. This code is used when the old catheter needs to be replaced due to blockage, damage, or malfunction, and a new catheter is inserted through the same access site.

2. Official Description

The official description of CPT code 36580 is: ‘Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access.’

3. Procedure

1. After administering anesthesia, the physician removes the old non-tunneled catheter.
2. A new catheter is inserted through the same venous access route.
3. The new catheter is tied up and the incision site is closed.

4. Qualifying circumstances

CPT 36580 is used when there is a need for a complete replacement of a non-tunneled CVC without a subcutaneous port or pump. This procedure is performed when the old catheter is no longer functioning properly due to blockage, damage, or malfunction. It is important to note that this code specifically applies to replacements through the same venous access site.

5. When to use CPT code 36580

CPT code 36580 should be used when a complete replacement of a non-tunneled CVC without a subcutaneous port or pump is performed through the same venous access. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 36580, the following documentation is required:

• Reason for the complete replacement of the non-tunneled CVC
• Details of the procedure, including the insertion of the new catheter through the same venous access site
• Date and time of the procedure
• Incision site closure
• Signature of the performing physician

7. Billing guidelines

When billing for CPT 36580, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately document and code the procedure to avoid any billing errors or denials. CPT code 36580 should not be reported with other codes for replacement of central venous access devices.

8. Historical information

CPT 36580 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 patient with a non-functioning central venous catheter due to blockage undergoes a complete replacement of the catheter through the same venous access.
2. Following a malfunction of the existing central venous catheter, a physician performs a complete replacement of the catheter without a subcutaneous port or pump through the same venous access.
3. A non-tunneled central venous catheter is replaced with a new catheter through the same venous access site due to damage.
4. After identifying a blockage in the central venous catheter, a physician performs a complete replacement of the catheter through the same venous access.
5. A patient with a non-functioning central venous catheter undergoes a complete replacement of the catheter without a subcutaneous port or pump through the same venous access.
6. Following a malfunction of the existing central venous catheter, a physician performs a complete replacement of the catheter through the same venous access site.
7. A non-tunneled central venous catheter is replaced with a new catheter due to damage through the same venous access.
8. After identifying a blockage in the central venous catheter, a physician performs a complete replacement of the catheter without a subcutaneous port or pump through the same venous access.
9. A patient with a non-functioning central venous catheter undergoes a complete replacement of the catheter through the same venous access site due to damage.
10. Following a malfunction of the existing central venous catheter, a physician performs a complete replacement of the catheter without a subcutaneous port or pump through the same venous access.