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Two access sites to reach one stenosis of fistula

Date: Oct 15, 2018

Question:

Right arm brachiocephalic fistula. RT common femoral vein is accessed with US guidance, and image saved to PACS. Stenosis in mid-cephalic vein is reached and treated with angioplasty. Then, “due to delivery sheath and stent delivery system length discrepancies, unable to safely stent the lesion from the right femoral approach.” Second access is made in upper arm cephalic vein and then stent is placed across the same stenosis. My codes: 76937, 36903, and 36012-XS for the remote access. How did I do?

Question ID : 11528
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