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Is basilic vein cutdown procedure bundled with fistulogram and angioplasty

Date: Oct 2, 2020

Question:

Is a cutdown procedure to basilic vein separately reportable following fistulogram and angioplasty? What code is appropriate? "... Subsequently, wire access was obtained into the basilic vein outflow region. This was confirmed with digital imaging and roadmapping techniques. Subsequently, cutdown was performed after initial mapping with ultrasound and fluoroscopy. The catheter was performed at the level of the basilic vein. Blunt dissection techniques were utilized. Once the vein was identified, dissection was performed underlying the basilic vein, which was subsequently banded with a 4-0 Prolene suture. Pressure was held at an adjacent branch component of this vein. Following this, digital images were obtained. The cutdown site was then closed with subcutaneous stitches and skin sutures. Subsequently, banding procedure was performed as described, which resulted in significant diminishment of flow into the basilic vein with direction of flow increasing into the cephalic outflow location."

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