For a 3-year-old patient, what is the appropriate code for insertion of a peripherally inserted central venous access device with a subcutaneous port?

The insertion of a peripherally inserted central venous access device (PICC line) with a subcutaneous port is correctly coded as 36570. This code specifically describes the placement of a central venous access device via a peripheral vein and includes the use of a subcutaneous port, which allows for easier access to the central venous system while preventing frequent needle sticks.

In pediatric patients, such as a 3-year-old, choosing the right code is essential for proper documentation and billing. This coding reflects procedures that have been developed to provide safe and effective venous access for long-term medication administration, fluid replacement, or other therapeutic interventions.

The other codes refer to different procedures: for example, 36560 pertains to other types of access, while 36580 and 36590 relate to catheter insertion and other specific types of central access management that do not include a subcutaneous port. Each code has distinct criteria based on the specificity used during the procedure, making it crucial to select the correct one to accurately represent the service provided.