How To Use CPT Code 36595

CPT 36595 describes the mechanical removal of obstructive material from a central venous device via separate 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 36595?

CPT 36595 can be used to describe the mechanical removal of obstructive material, such as a fibrin sheath, from a central venous device. This procedure involves the insertion of a wire or other instrument through a separate venous access to remove the obstructing material and restore the functionality of the device.

2. Official Description

The official description of CPT code 36595 is: ‘Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access.’

3. Procedure

1. The healthcare provider identifies an obstructed or narrowed central venous catheter lumen.
2. A separate venous access is established.
3. A wire or other instrument is inserted through the separate access and guided to the site of obstruction.
4. The obstructive material, such as a fibrin sheath, is mechanically removed using methods like a guidewire, snare, or biopsy brush.
5. The functionality of the central venous device is restored.

4. Qualifying circumstances

CPT 36595 is performed when a central venous device is obstructed or narrowed due to the formation of a fibrin sheath or other obstructive material. The procedure requires the use of a separate venous access and the mechanical removal of the obstructive material to restore the functionality of the device.

5. When to use CPT code 36595

CPT code 36595 should be used when a healthcare provider performs the mechanical removal of obstructive material from a central venous device via separate venous access. It is important to note that CPT code 36595 should not be reported in conjunction with CPT code 36593.

6. Documentation requirements

To support a claim for CPT code 36595, the healthcare provider must document the following information:

• Identification of the obstructed or narrowed central venous catheter lumen
• Description of the separate venous access used
• Details of the mechanical removal procedure, including the instruments used
• Documentation of the restored functionality of the central venous device

7. Billing guidelines

When billing for CPT code 36595, ensure that the procedure involves the mechanical removal of obstructive material from a central venous device via separate venous access. It is important to note that CPT code 36595 should not be reported in conjunction with CPT code 36593. Additionally, if the healthcare provider performed both the fibrin sheath removal and radiological supervision and interpretation, separate reporting of CPT codes 36595 and 75901 is necessary.

8. Historical information

CPT code 36595 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 healthcare provider performs the mechanical removal of a fibrin sheath from a central venous device via separate venous access.
2. Using a wire inserted through a separate access, a healthcare provider removes an obstructive material from a central venous device.
3. A fibrin sheath obstructing a central venous device is mechanically removed by a healthcare provider through a separate venous access.
4. During a procedure, a healthcare provider uses a snare to remove an obstructive material from a central venous device via separate venous access.
5. A healthcare provider restores the functionality of a central venous device by mechanically removing a fibrin sheath through a separate venous access.
6. Using a biopsy brush, a healthcare provider removes an obstructive material from a central venous device via separate venous access.
7. A healthcare provider performs the mechanical removal of a fibrin sheath from a central venous device, restoring its functionality.
8. Through a separate venous access, a healthcare provider removes an obstructive material from a central venous device, ensuring its proper functioning.
9. Using a wire inserted through a separate access, a healthcare provider successfully removes an obstructive material from a central venous device.
10. A healthcare provider restores the functionality of a central venous device by mechanically removing an obstructive material via separate venous access.