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AVF/AVG Declotting Procedures in Global Period

Date: Mar 25, 2020

Question:

Many of our dialysis patients have angioplasties or thrombectomies or stents performed in AVF/AVG. These procedures fall in the global period of the same AVF/AVG placement or revision. What modifier should be used for the physician charges for the procedure performed in the global period? The fistula repair is usually related to the patient's underlying illness (renal disease) not directly related to the fistula's creation or revision and is not strictly a complication of the earlier procedure. 

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