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Radiology Coding Alert

CCI Update:

36147/+76937 Edit Is a Thing of the Past

You still shouldn't be too hasty in adding the US code to your claim.A recent Correct Coding Initiative (CCI) edit deletion simplifies reporting ultrasound guidance with arteriovenous (AV) shunt access.Effective April 1, 2012, for physicians, CCI deleted the edit bundling these two codes, according to Frank Cohen, principal and senior analyst for The Frank Cohen Group, in his NCCI Change Analysis 18.1:36147, Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); initial access with complete radiological evaluation of dialysis access, including fluoroscopy, image documentation and report (includes access of shunt, injection[s] of contrast, and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava)+76937, Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in [...]

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