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Thrombectomy in subclavian vein

Hwa Posted Tue 12th of May, 2015 15:31:42 PM

Patient has an AV graft in the arm. Physician performs thrombectomy of the subclavian vein (due to a clotted old stent) and an additional arterial fogarty thrombectomy just past the arterial anastamosis. Additionally, he performed an angioplasty of the venous side of the AV graft. Is it appropriate to code 37184 (for the subclavian thrombecomy), 36870 for the thrombectomy of the graft, 36147, 36148, 35476, 75978??

Hwa Posted Tue 12th of May, 2015 15:34:11 PM

Sorry...37187 for the subclavian vein thrombectomy.

SuperCoder Answered Wed 13th of May, 2015 08:42:38 AM

Well, that seems correct coding combination. The CPTs are 37187, 36870-59, 36147, 36148, 35476,75978. No CCI relationship exist between any code except between CPT 37187 and 36870 however we have to bill both as one is for subclavian and another for the thrombectomy done in fistula.

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