Implantable Access Systems - Smiths Medical

Procedure CPU APE C Code Description
Code 1 Code Code 2
Peritoneal Systems
Portal Implantation 49419 0115 C1788 Insertion of intraperitoneal cannula or catheter, with subcutaneous reservoir,
permanent (i.e. totally implantable).
Catheter Removal 49422 0105 N/A Removal of permanent intraperitoneal cannula or catheter.
Arterial Systems
Catheter Implantation 36640 0623 C1751 Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown.
Portal Placement 37799 0103 N/A Unlisted procedure, vascular surgery
Venous Catheter (CVC’s)
Placement 36555 0621 C1751 Insertion of non-tunneled centrally inserted central venous catheter; under
5 years of age
36556 0621 C1751 Age 5 years or older.
36557 0622 C1751 Insertion of tunneled centrally inserted central venous catheter, without
subcutaneous port or pump; under 5 years of age.
36558 0622 C1751 Age 5 years or older.
Repair 36575 0621 N/A Repair of tunneled or non-tunneled central venous access catheter, without
subcutaneous port or pump, central or peripheral insertion site.
Complete Replacement 36580 0621 C1751 Replacement, complete, of a non-tunneled centrally inserted central venous
of Central Venous Access
Device Through Same
Venous Access Site
(catheter)
catheter, without subcutaneous port or pump, through same venous access.
Complete Replacement 36581 0622 C1751 Replacement, complete, of a tunneled centrally inserted central venous
of Central Venous Access
Device Through Same
Venous Access Site
(catheter)
catheter, without subcutaneous port or pump, through same venous access.
Repositioning 36597 0621 N/A Repositioning of previously placed central venous catheter under
fluoroscopic guidance.
To report fluoroscopic guidance, consult CPU code 76000.
Removal of Central 36589 0621 N/A Removal of tunneled central venous catheter, without subcutaneous port
Venous Access Device or pump.
Venous Catheter (PICC’s)
Placement 36568 0621 C1751 Insertion of peripherally inserted central venous catheter (PICC), without
subcutaneous port or pump; under 5 years of age.
36569 0621 C1751 Age 5 years or older.
Repair 36575 0621 N/A Repair of tunneled or non-tunneled central venous access catheter, without
subcutaneous port or pump, central or peripheral insertion site.
Complete Replacement of 36584 0621 C1751 Replacement, complete, of a peripherally inserted central venous catheter
Central Venous Access
Device Through Same
Venous Access Site
(catheter)
(PICC), without subcutaneous port or pump, through same venous access.
Repositioning 36597 0621 N/A Repositioning of previously placed central venous catheter under
fluoroscopic guidance.
To report fluoroscopic guidance, consult CPU code 76000).
Removal of Central 36589 0621 N/A Removal of tunneled central venous catheter, without subcutaneous port
Venous Access Device or pump.
Venous Catheter
(CVC’s and PICC’s)
Mechanical Removal of 36595 0622 N/A Mechanical removal of pericatheter obstructive material (eg. fibrin sheath)
Obstructive Material from central venous device via separate venous access.
Code 36550 cannot be reported in addition to 36595.
To report venous catheterization, consult CPU codes 36010-36012.
To report radiological supervision and interpretation, consult CPU code 75901.
Mechanical Removal of 36596 0621 N/A Mechanical removal of intraluminal (intracatheter) obstructive material from
Obstructive Material central venous device through device lumen.
Code 36550 cannot be reported in addition to 36596.
To report venous catheterization, consult CPU codes 36010-36012.
To report radiological supervision and interpretation, consult CPU code 75902.
Declotting 36550 0676 N/A Declotting by thrombolytic agent of implanted vascular access device or catheter.
Procedure CPU APE C Code Description
Code 1 Code Code 2
Venous Access
Hemodialysis
Insertion 36565 0623 C1752 Insertion of tunneled centrally inserted central venous access device,
requiring two catheters via two separate venous access sites: without
subcutaneous port or pump (eg, Tesio type catheter)
Placement 36555 0621 C1752 Insertion of non-tunneled centrally inserted central venous catheter; under
5 years of age
36556 0621 C1752 Age 5 years or older.
36557 0622 C1752 Insertion of tunneled centrally inserted central venous catheter, without
subcutaneous port or pump; under 5 years of age.
36558 0622 C1752 Age 5 years or older.
Repair 36575 0621 N/A Repair of tunneled or non-tunneled central venous access catheter, without
subcutaneous port or pump, central or peripheral insertion site.
Complete Replacement of 36580 0621 N/A Replacement, complete, of a non-tunneled centrally inserted central venous
Central Venous Access
Device Through Same
Venous Access Site
(catheter)
catheter, without subcutaneous port or pump, through same venous access.
Complete Replacement of 36581 0622 N/A Replacement, complete, of a tunneled centrally inserted central venous
Central Venous Access
Device Through Same
Venous Access Site
(catheter)
catheter, without subcutaneous port or pump, through same venous access.
Repositioning 36597 0621 N/A Repositioning of previously placed central venous catheter under
fluoroscopic guidance.
To report fluoroscopic guidance, consult CPU code 76000.
Removal of Central Venous 36589 0621 N/A Removal of tunneled central venous catheter, without subcutaneous port or
Access Device pump.
Mechanical Removal of 36595 0622 N/A Mechanical removal of pericatheter obstructive material (eg. fibrin sheath)
Obstructive Material from central venous device via separate venous access.
Code 36550 cannot be reported in addition to 36595.
To report venous catheterization, consult CPU codes 36010-36012.
To report radiological supervision and interpretation, consult CPU code 75901.
36596 0621 N/A Mechanical removal of intraluminal (intracatheter) obstructive material from
central venous device through device lumen.
Code 36550 cannot be reported in addition to 36596.
To report venous catheterization, consult CPU codes 36010-36012.
To report radiological supervision and interpretation, consult CPU code 75902.
Additional Procedures 2
Consultation 99201-
99252
0600 N/A Consultation/evaluation and management of new or established patient.
3
Vascular Injection 36005 N/A N/A Injection procedure for extremity venography (including introduction of
Procedure needle or intracatheter).
To report radiological supervision and interpretation, consult CPU codes
75820 and 75822.
Venography 75820 0668 N/A Venography, extremity, unilateral, radiological supervision and interpretation.
75860 0668 N/A Venography, sinus or jugular, radiological supervision and interpretation.
75872 0279 N/A Venography, epidural, radiological supervision and interpretation.
Fluoroscopy 76000 0272 N/A Fluoroscopy (separate procedure), up to one hour physician time.
Ultrasound Guidance 76937 N/A N/A Ultrasound guidance for vascular access requiring ultrasound evaluation of
potential access sites, documentation of selected vessel patency, concurrent
real time ultrasound visualization of vascular needle entry, with
permanent recording and reporting (list separately in addition to code for
primary procedure)
Included in allowance for procedure
Do not use 76937 in conjunction with 76942.
If extremity venous non-invasive vascular diagnostic study is performed
separate from venous access guidance, use 93965, 93970 or 93971.