I would code 36556 for this, assuming the patient's age is greater than 5.Here is the report:
Procedure: Placement of femoral veneous sheath for dialysis.
Diagnosis: End Stage Renal Disease
An attempt was made to place the sheath through the right internal jugular vein, however, I could not gain access into the jugular vein. Right groin was prepped and access was gained in the right femoral vein using a modified Seldinger technique and a Quinton cathether was then placed w/o difficulty. Good flow was established. the sheath was then flushed. The sheath was then sewn into place. We will initiate dialysis as soon as possible.
Found under the heading of Central Venous Access Procedures in the CPT book you will see descriptions of what constitutes centrally inserted vs peripherally inserted.I meant 36569....Why not 36569 since it's peripherally inserted?