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AVG patient w./ radial artery thrombectomy - 34111 vs. 37186

Date: Nov 20, 2019

Question:

A patient with an AV graft undergoes open thrombectomy of the graft, along with balloon angioplasty and stenting of the axillary vein. Selective cath and thrombectomy of the radial artery are also performed as follows: "....Fistulogram was performed, which showed evidence of persistent thrombus in the proximal AV graft. There was also evidence of thrombus at the origin of the radial and interosseous arteries. Wire was then directed in the radial artery under fluoro guidance. A Fogarty balloon was then passed into the proximal radial artery, and a thrombectomy was performed until all clot was evacuated. A completion angiogram was performed of the left forearm and hand that showed no residual thrombus and improved flow through the radial, interosseous, and ulnar arteries." We have 36833 for the open thrombectomy with axillary angioplasty and stenting. Is the radial artery thrombectomy to be reported with 34111? 37186 and 36215? Would we also need code 75710?

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