CPT® Code 36566

Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s)

The procedure described by CPT® Code 36566 involves the insertion of two tunneled centrally inserted central venous catheters (CVCs) that are connected to subcutaneous ports. This complex procedure is performed through two separate venous access sites, typically utilizing the jugular, subclavian, or femoral veins. The primary purpose of this procedure is to establish long-term venous access for patients who require frequent intravenous therapy, such as chemotherapy, total parenteral nutrition, or other treatments that necessitate reliable venous access. A tunneled CVC is designed to remain in place for an extended period, providing a stable route for medication administration and blood sampling. The catheters are inserted using a technique that minimizes trauma to the veins and surrounding tissues, ensuring patient safety and comfort. The use of local anesthesia at the puncture site helps to reduce discomfort during the procedure. The placement of the catheters is confirmed through imaging techniques, ensuring that they are positioned correctly within the central venous system. The addition of subcutaneous ports allows for easier access to the catheters, as the ports can be accessed through the skin without the need for repeated venipuncture, thus enhancing patient convenience and compliance with treatment regimens.