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36215 with 36902

Date: Feb 4, 2019

Question:

Could you please help me with this scenario? "Patient came in for a fistulogram. Fistulogram performed. Reflux arteriogram was performed to rule out inflow lesion. 10 cm of the brachial artery were described in the findings, along with 80% stenosis in the AVG. The stenosis was treated. Following angioplasty, in order to avoid reflux imaging and extravasation while imaging the post angioplasty area, catheter was manipulated into the upstream artery and contrast was injected to visualize the arterial supply, the AA, and the JA segment." I do not believe this meets the criteria for a selective catheter, but this is a very grey area for me. Could you please give me direction on if 36215 should be coded in this scenario?

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