CPT® Code 36573

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; age 5 years or older

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 are typically used for short-term access, a PICC is inserted into a large vein in the arm and extends to a central location within the venous system, such as the innominate vein, subclavian vein, iliac veins, vena cava, or right atrium. This allows for effective delivery of treatments, including chemotherapy, antibiotics, or nutritional support, over an extended period. The insertion process involves careful preparation and technique to ensure patient safety and optimal catheter placement. The procedure is performed under imaging guidance to confirm the correct positioning of the catheter tip, which is crucial for effective treatment and to minimize complications. The insertion site is meticulously cleansed, and local anesthesia is administered to enhance patient comfort. The procedure can be performed using either the peel-away cannula technique or the Seldinger technique, both of which are designed to facilitate the safe and accurate placement of the PICC. This code specifically applies to patients aged 5 years or older, ensuring that the appropriate coding is utilized based on the patient's age and the specific requirements of the procedure.