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AVF created and ligated in same session

Date: Nov 20, 2018

Question:

"Surgeon created a brachiocephalic AVF. After the AVF was completed, clamps were released and immediate swelling of the distal upper arm was noted, clearly a hematoma. Clamps were placed and incision made over the area. The cephalic vein was disrupted and was unrepairable, so the surgeon ligated the cephalic vein at the origin of the anastomosis." Do you code for the AVF (36821) since it was completed and the ligation (37607), or should we just use the ligation code?

Question ID : 11669
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