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Can we code a 36140, when brachial artery was accessed and introduced

Date: Jan 21, 2019

Question:

A guidewire and a cath were introduced to the IVC and RA to SVC and eventaully LUE. The cath and wire were guided under fluoro through the AV fistula into the brachial artery. Cath was removed. The area of stenosis within the fistula was dilated with dorado balloon. The area of stenosis in the left subclavian vein and brachiocephalic vein was then treated and angioplasted with 12 mm balloon with good results. Can we code the 36140 (brachial artery access), 36902 (angioplasty of fistula), 37246 (subclavian vein through femoral access), and 36012 (cath placement from femoral to subcalvian access)?

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