Dialysis access
Tunneled Dialysis Catheter (Permcath) Placement
Tunneled Dialysis Catheter (Permcath) Placement is a minimally invasive, image-guided procedure used to treat kidney failure needing dialysis access.
Devices used in Permcath
Alternatives to Permcath
- Non-Tunneled Dialysis Catheter (Vascath) Placement
- Fistulogram with Angioplasty
- Dialysis Graft and Fistula Thrombectomy
- HeRO Graft Placement
- Surgical AV fistula creation
- Surgical AV graft placement
- Peritoneal dialysis
- Kidney transplant
How much does Permcath cost?
Medicare national averages for CPT 36558 (Inserting a tunneled central venous catheter for infusion in adults and children). The total bill has two parts: the professional fee paid to the physician, and the facility (technical) fee paid to the hospital or surgery center for the room, staff, equipment and supplies.
| Where it's done | Physician (professional) | Facility (technical) |
|---|---|---|
| Hospital outpatient department | $234 | $3,226 (OPPS) |
| Ambulatory surgery center (ASC) | $234 | $1,624 |
| Office-based lab (OBL) | $792 (one "global" payment that covers the physician and the office's supplies, equipment and staff) | |
Medicare physician fee schedule and hospital outpatient/ASC payment rates, national averages before geographic adjustment. Private insurance usually pays more; your share depends on your plan's deductible and coinsurance. Inpatient stays are paid differently (by DRG).
Related reading and technique references
- Permcath (Permacath) Tunneled Hemodialysis Catheter
- Permacath placement Technique and Dictation
- Permcath/Permacath/Tunneled hemodialysis catheter placement technique and dictation
- Permacath Exchange Technique and Dictation
- Permacath removal Technique and Dictation
- Translumbar hemodialysis catheter placement technique and dictation
This page is for education and does not replace advice from your doctor. Device information comes from the FDA's public databases and from manufacturers.