CPT® Code 36589

A tunneled central venous catheter (CVC) is a medical device that is inserted into a large vein, typically in the neck, chest, or groin, to provide long-term access for intravenous therapies, such as medications, fluids, or blood products. The procedure described by CPT® Code 36589 involves the removal of this catheter when it is no longer needed. The removal process begins with the administration of a local anesthetic to minimize discomfort for the patient. Following this, an incision is made over the venous access site to facilitate the removal of the catheter. The catheter is carefully dissected free from the surrounding tissue and the tunnel it occupies, ensuring that it is completely extracted from the body. After the catheter is removed, any bleeding at the site is controlled through manual pressure. Finally, the incision is closed, and a sterile dressing is applied to protect the area and promote healing. This procedure is specifically for tunneled CVCs that do not have a subcutaneous port or pump, distinguishing it from similar procedures that involve such devices.