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Thread: Port-A-Cath Placement Assistance

  1. #1

    Question Port-A-Cath Placement Assistance

    AAPC: Back to School
    How do you know the difference between a tunneled vs non-tunneled central venous catheter? The surgery report follows: The patient's right subclavian vein was punctured. Guidewire was placed & introduce. The sheath was advanced under fluroscopic guidance. The catheter tip was positioned at the junction of the superior vena cava & right subclavian vein. A incision was made on the right upper chest & a pocked for the the port was created with electrocautery. The catheter was then tunneled from the site of the puncture through the tunnel & attached to the port as recommended. The port was secured to the subcutaneious fascia. Would this be CPT code 36561? I am correct in intrepretating the sheath is what is used to create the tunnel? Any assistance, clarification for me would be appreciated.

    Thank you
    Jody Hecht

  2. #2


    Well in the OP Report it states the catheter was tunneled that should tell you that it is tunneled. Yes 36561 would be correct.

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Depends on age of patient

    Yes, this is a tunneled cath with a port. Use 36560 or 36561 depending on age of patient.

    F Tessa Bartels, CPC, CEMC

  4. #4

    Default Thank you

    Thank you, I am quite new to all this so all of your help is appreciated.

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