PICC Line Placement CPT Code

What is the CPT code for a PICC (peripherally inserted central venous catheter) line placement?

CPT Code 36568 or 36569 for the insertion of a PICC line depending on the patient’s age and Codes 36584 or 36585 for the replacement of a PICC line.

Code Status Global Description
36568 A 000 Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; younger than 5 years of age
36569 A 000 Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older
36584 A 000 Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access
36585 A 010 Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access

Table from CodingToday.com

Data Updated for Q4 2018

Status Code

A

Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a national coverage determination regarding the service; carriers remain responsible for coverage decisions in the absence of a national Medicare policy.

Global Days

000

• No pre-operative period

• No post-operative days

• Visit on day of procedure is generally not payable as a separate service

010

• No pre-operative period

• Visit on day of the procedure is generally not payable as a separate service.

• Total global period is 11 days. Count the day of the surgery and the 10 days immediately following the day of the surgery.

 

Medicare RUVs and Fees

RUVs and Fees 36568 36569 36584 36585
Work RVU 1.67 1.70 1.20 4.59
Malpractice RVU 0.15 0.15 0.11 0.79
Facility RVU 0.31 0.61 0.60 2.47
Non-Facility RVU 4.38 5.18 4.52 24.73
Facility Total RVU 2.13 2.46 1.91 7.85
Non-Facility Total RVU 6.20 7.03 5.83 30.11
Medicare National Facility Total Payment $76.68 $88.56 $68.76 $282.60
Medicare National Non-Facility Total Payment $223.2 $253.08 $209.88 $1083.95

 

If you get stuck finding the right Code, take a look at our 5 Ways to Find the Most Appropriate CPT Code.