CPT® Code 36572

Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age

A peripherally inserted central venous catheter (PICC) is a specialized type of intravenous line designed for the prolonged administration of medications or fluids directly into the bloodstream. Unlike standard intravenous lines, which typically terminate in peripheral veins, a PICC's tip is strategically positioned in larger central veins such as the innominate, subclavian, or iliac veins, or even in the superior vena cava or right atrium. This positioning allows for more effective delivery of treatments, especially in pediatric patients under the age of five, who may require long-term intravenous therapy. The insertion of a PICC involves accessing a suitable large vein in the arm, often one of the deeper veins located above the elbow, such as the basilic, cephalic, or brachial veins, or the saphenous vein in the leg. The procedure is performed under sterile conditions, beginning with the cleansing of the planned insertion site using a bactericidal solution, followed by the application of a tourniquet to engorge the vein and facilitate access. A local anesthetic is administered to minimize discomfort during the procedure. There are two primary techniques for inserting a PICC: the peel-away cannula technique and the Seldinger technique, both of which ensure that the catheter is accurately placed into the central venous system. This procedure includes all necessary imaging guidance, documentation, and radiological supervision to confirm the correct placement of the catheter tip, ensuring optimal patient care and safety.