CPT® Code 36570

The CPT® Code 36570 refers to the procedure of inserting a peripherally inserted central venous access device (PICC) that includes a subcutaneous port specifically for patients younger than 5 years of age. This device is designed to provide long-term venous access for the administration of medications, fluids, or for drawing blood. The procedure involves the placement of a port beneath the skin, which is connected to a catheter that is inserted into a peripheral vein and advanced into a central vein, typically the superior vena cava. The use of ultrasound may be employed to locate a suitable large vein in the arm, ensuring the procedure is performed safely and effectively. Commonly accessed veins include the basilic, cephalic, or brachial veins, which are deeper veins located above the elbow. The insertion process requires careful incision and exposure of the selected vein, followed by the use of the Seldinger technique to puncture the vein and facilitate the placement of the catheter. This procedure is critical for pediatric patients who require reliable venous access for ongoing medical treatment.