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CPT 36555: Pediatric Central Venous Access Catheter Insertion
CPT code 36555 captures the placement of a central venous access catheter in the neck, chest, or groin for patients younger than five years. This pediatric-specific procedural code is clinically important because it supports safe vascular access for blood sampling and delivery of medications, fluids, or parenteral nutrition in young children, a population with unique anatomic and anesthetic considerations. National stakeholders track utilization and coverage of this procedure for quality, safety, and cost-effectiveness concerns.
Key payers examined include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a concise overview of billing context, expected sites of service, and payer coverage landscape. Readers will find benchmarks for utilization and reimbursement practices, discussion of pertinent policy updates affecting pediatric central line placement, and clinical context that clarifies when CPT code 36555 is typically reported. Where available, comparisons to related procedural codes and coding guidance are summarized to aid coding accuracy and administrative consistency.
Data not available in the input for associated taxonomies, specific ICD-10 diagnoses, and comparative rate tables are noted where relevant.
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Billing Code Overview
CPT code 36555 describes the insertion of a central venous access catheter in the neck, chest, or groin for a patient younger than five years of age. The procedure is performed to establish durable central venous access for drawing blood or for administration of medications, fluids, or nutrients.
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Service type: Insertion of a central venous access catheter for pediatric patients (<5 years)
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Typical site of service: Inpatient or outpatient surgical settings, pediatric interventional radiology, or pediatric operating rooms