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Revision of AV fistula with a venovenostomy anastamosis

Date: Jun 21, 2018

Question:

Would the correct code for this procedure be 36833 or unlisted CPT 37799 since we cannot find a CPT code for a venovenostomy anastomosis? "Procedure performed: Revision of left upper extremity cephalic AV fistula with translocated basilic vein AV fistula and a venovenostomy anastomosis. Operative technique: The distal aspect of the cephalic vein was ligated just below the area of occlusion and the vein divided. There was thrombus at this level, which was easily removed, and the remaining portion of the cephalic vein appeared to be patent. The basilic vein was ligated distally. The vein was then mobilized and tunneled to the open incision over the cephalic vein. An end-to-end anastomosis venovenostomy was performed using 6-0 Prolene sutures. Upon completing the anastomosis, flow was instituted through the vein and the AV fistula, and excellent thrill was palpable."

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