How To Use CPT Code 36583

CPT 36583 describes the complete replacement of a tunneled centrally inserted central venous access device (CVA) with a subcutaneous 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 36583?

CPT 36583 can be used to describe the complete replacement of a tunneled CVA catheter with a subcutaneous pump through the same venous access. This code is used when the old catheter is blocked, damaged, or malfunctioning, and needs to be replaced with a new one.

2. Official Description

The official description of CPT code 36583 is: ‘Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access.’

3. Procedure

1. After administering anesthesia, the physician removes the old tunneled catheter and replaces it with a new one.
2. The physician also removes the old pump and replaces it with a new one through the same venous access route.
3. The catheter is tied up and the incision site is closed.

4. Qualifying circumstances

CPT 36583 is performed when there is a need for a complete replacement of a tunneled CVA catheter with a subcutaneous pump. This procedure is typically done in cases where the old catheter is blocked, damaged, or malfunctioning. The patient must have an existing central venous access device and the replacement must be done through the same venous access site.

5. When to use CPT code 36583

CPT code 36583 should be used when there is a need for a complete replacement of a tunneled CVA catheter with a subcutaneous pump through the same venous access. It should not be used for partial replacements or when the replacement is done through a different venous access site.

6. Documentation requirements

To support a claim for CPT 36583, the physician must document the following information:

• Reason for the complete replacement of the tunneled CVA catheter
• Details of the procedure, including the removal of the old catheter and pump, and the insertion of the new catheter and pump
• Date and time of the procedure
• Incision site and closure details
• Signature of the performing physician

7. Billing guidelines

When billing for CPT 36583, ensure that the procedure involves a complete replacement of a tunneled CVA catheter with a subcutaneous pump through the same venous access. It should not be reported with other codes unless necessary. Follow the specific guidelines provided by the payer to ensure accurate billing.

8. Historical information

CPT 36583 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 malfunctioning tunneled CVA catheter and subcutaneous pump undergoes a complete replacement of the catheter and pump through the same venous access.
2. A patient with a blocked tunneled CVA catheter and subcutaneous pump requires a complete replacement of the catheter and pump through the same venous access.
3. A patient with a damaged tunneled CVA catheter and subcutaneous pump undergoes a complete replacement of the catheter and pump through the same venous access.
4. A patient with an infected tunneled CVA catheter and subcutaneous pump requires a complete replacement of the catheter and pump through the same venous access.
5. A patient with a malfunctioning subcutaneous pump connected to a tunneled CVA catheter undergoes a complete replacement of the pump and catheter through the same venous access.
6. A patient with a blocked subcutaneous pump connected to a tunneled CVA catheter requires a complete replacement of the pump and catheter through the same venous access.
7. A patient with a damaged subcutaneous pump connected to a tunneled CVA catheter undergoes a complete replacement of the pump and catheter through the same venous access.
8. A patient with an infected subcutaneous pump connected to a tunneled CVA catheter requires a complete replacement of the pump and catheter through the same venous access.
9. A patient with a malfunctioning tunneled CVA catheter and subcutaneous pump undergoes a complete replacement of the catheter and pump through the same venous access.
10. A patient with a blocked tunneled CVA catheter and subcutaneous pump requires a complete replacement of the catheter and pump through the same venous access.