How To Use CPT Code 36585

CPT 36585 describes the complete replacement of a peripherally inserted central venous access device (PICC) with a subcutaneous port through the same venous access site. 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 36585?

CPT 36585 can be used to describe the complete replacement of a peripherally inserted central venous access device (PICC) with a subcutaneous port through the same venous access site. This code is used when a physician removes the old peripheral catheter and port and replaces them with new ones through the same venous access route.

2. Official Description

The official description of CPT code 36585 is: ‘Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access.’

3. Procedure

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

4. Qualifying circumstances

CPT 36585 is used when there is a need for a complete replacement of a peripherally inserted central venous access device (PICC) with a subcutaneous port. This may be necessary in cases of infection, phlebitis, or another malfunction. The procedure must be performed by a physician and the replacement must be done through the same venous access site.

5. When to use CPT code 36585

CPT code 36585 should be used when there is a need for a complete replacement of a peripherally inserted central venous access device (PICC) with a subcutaneous port through the same venous access site. 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 36585, the physician must document the following information:

• Reason for the complete replacement of the PICC and subcutaneous port
• Date of the procedure
• Details of the procedure, including the removal of the old catheter and port, and the insertion of the new ones
• Any complications or additional procedures performed
• Signature of the physician performing the procedure

7. Billing guidelines

When billing for CPT 36585, ensure that the procedure is a complete replacement of a peripherally inserted central venous access device (PICC) with a subcutaneous port through the same venous access site. It should not be reported with other codes unless additional procedures were performed. Follow the specific guidelines provided by the payer to ensure accurate billing.

8. Historical information

CPT 36585 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 physician performs a complete replacement of a PICC and subcutaneous port for a patient with an infected catheter.
2. A physician replaces a malfunctioning PICC and subcutaneous port through the same venous access site for a patient experiencing phlebitis.
3. A physician removes an old PICC and subcutaneous port and replaces them with new ones for a patient with a non-functioning catheter.
4. A physician performs a complete replacement of a PICC and subcutaneous port for a patient with a dislodged catheter.
5. A physician replaces a PICC and subcutaneous port through the same venous access site for a patient with a damaged port.
6. A physician removes an infected PICC and subcutaneous port and replaces them with new ones for a patient with a bloodstream infection.
7. A physician performs a complete replacement of a PICC and subcutaneous port for a patient with a blocked catheter.
8. A physician replaces a malfunctioning PICC and subcutaneous port through the same venous access site for a patient with a clot in the catheter.
9. A physician removes an old PICC and subcutaneous port and replaces them with new ones for a patient with a leaking port.
10. A physician performs a complete replacement of a PICC and subcutaneous port for a patient with a broken catheter.