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Brachial-Axillary AV graft and brachial artery selection

Michelle Posted Sun 12th of July, 2020 15:43:30 PM
The graft was accessed using a micropuncuture needle towards the arterial anastomosis. Micropuncture wire was placed thru the needle & replaced with a 5French mircrocath sheath. A 0.035 stiff angled glidewire was placed thru the sheath and advanced retrograde up the left brachial artery. The microcath sheath was upsized to 6French short Brite Tip sheath. The 8x40 balloon angioplasty was used to balloon the main body of the focal stenosis after the arterial anastomosis. Repeat angiography via catheter in the left brachial artery showed no residual stenosis of AVG. I coded 36902. Is this correct? Can the Brachial artery cath and angio be coded (36215/75710)?
SuperCoder Answered Mon 13th of July, 2020 06:59:54 AM
Hi Michelle nbsp Thanks for your question nbsp Code includes diagnostic angiography catheter placement and transluminal balloon angioplasty as well as image guidance and monitoring for both the diagnostic and therapeutic portions of the procedure so do not report these procedures separately nbsp Note For the same procedure without the...
Michelle Posted Mon 13th of July, 2020 10:33:40 AM
Your comment didn't really address the bachial artery retrograde issue. You just gave me the definition for 36902.
SuperCoder Answered Tue 14th of July, 2020 07:27:36 AM
As per your question Can the Brachial artery cath and angio be coded our answer is No brachial artery retrograde and angio cannot be coded with this procedure Your radiologist may perform antegrade and or retrograde punctures in the dialysis circuit and also inject contrast if needed for the purpose...

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