CPT® Code 36580

Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access

The procedure described by CPT® Code 36580 involves the complete replacement of a non-tunneled centrally inserted central venous catheter (CVC) without the presence of a subcutaneous port or pump. This procedure is performed through the same venous access site, which means that the existing access point is utilized for the replacement rather than creating a new one. The need for replacement typically arises when the catheter experiences issues such as partial or complete obstruction, or other malfunctions that compromise its functionality. During the procedure, radiographs may be obtained to ensure that the tip of the newly placed CVC is correctly positioned within the vascular system. The replacement process includes the placement of a guidewire through the existing catheter, allowing for the withdrawal of the old catheter over the guidewire. Subsequently, a new catheter is advanced over the guidewire, with its tip being positioned in one of several key anatomical locations, including the subclavian vein, brachiocephalic vein, iliac vein, superior vena cava, inferior vena cava, or the right atrium. Once the new catheter is in place, it is secured with sutures to prevent displacement and is either flushed with heparin to maintain patency or connected to intravenous tubing for the administration of fluids or medications. This procedure is critical for patients requiring long-term venous access for treatment, ensuring that they receive necessary therapies without interruption due to catheter-related issues.