Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2018. The coding advice may or may not be outdated.

Code as 36830?

Date: Sep 6, 2018

Question:

Would the following be coded as 36830? "Patient with left arm radiocephalic AVF presents for placement of hybrid graft. The left axilla was inspected with US. The previously placed axillary/basilic vein stents were ID'd. The axillary vein was punctured under US guidance. A small incision was made over the puncture site, and a short sub-q tunnel tract was created. A sheath was passed into axillary vein. The hybrid graft/Viabahn stent was passed through the sheath and into the axillary vein beyond the previously placed stents/known stenotic lesions. The stent portion of the graft was deployed. Venography of the graft/stent and axillary vein/central runoff was performed via the sheath. Severe stenosis was noted within the axillary vein stents. Balloon angioplasty was performed. The graft was flushed and clamped at the axillary incision. A tunneler was passed between the two incisions along the tunnel tract. The graft was pulled back through the tract. An arteriotomy was made on the anterior aspect of the brachial artery. The graft was sutured end-to-side to the brachial artery."

Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!