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Aborted Thrombectomy with new AV Fistula Creation

Date: Feb 25, 2019

Question:

Coding for pro-fee AND facility here. My instructor said for facility we can only code for what is successful, but is the same true for pro-fee? Patient has a thrombosed AV fistula, but after performing an open thrombectomy and angioplasty they could not salvage the existing AV fistula. They "aborted plan to salvage the dorsal vein" (which had been transpositioned months back when the original radiocephalic AV fistula was not able to be salvaged due to thrombosis) and created a new one by anastomosing the basilic vein to the radial artery in an end-to-side fashion. Am I looking at coding only 36821 for facility and for pro-fee for this procedure?

Question ID : 12100
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