CPT® Code 36556

A non-tunneled centrally inserted central venous catheter (CVC) is a medical device that is inserted into a large vein to provide access to the central venous system. This procedure is specifically indicated for patients aged 5 years or older. The catheter is designed to terminate in major veins such as the subclavian, brachiocephalic, or iliac veins, as well as the superior or inferior vena cava, or the right atrium. The insertion of a non-tunneled CVC involves placing the catheter directly into a vein, which can be accessed through the jugular, subclavian, or femoral veins, or the inferior vena cava. During the procedure, local anesthesia is administered to ensure patient comfort at the puncture site. There are two primary techniques for the insertion of the catheter: the peel-away cannula technique and the Seldinger technique. The peel-away technique involves inserting a cannula with a stylet into the selected vein, removing the stylet, and then advancing the catheter into the vein. The Seldinger technique, on the other hand, requires puncturing the skin and vein with a needle, inserting a guidewire, and then using an introducer sheath to place the catheter. To confirm proper placement of the catheter, imaging guidance may be utilized, and the position of the catheter tip is verified through radiographs. Once the catheter is correctly positioned, it is secured with sutures, and a dressing is applied to the insertion site to protect it and promote healing. This procedure is essential for various medical treatments, including medication administration, fluid resuscitation, and blood sampling, making it a critical component of patient care in a hospital setting.