Ask Dr. Z

For the following, would 36832 and 36833-XU be correct? "Suffering from Steel syndrome. Incision made and band removed from the AV fistula. There was a thrombus between the arterial anastomosis and the start of banding. Cephalic vein was transected. The stump toward the brachial artery was oversewn. Alpha vein which was the cephalic was treated with thrombectomy by balloon. Clamp placed on cephalic vein. Incision made in the right axilla. Dissection allowed the axillary artery to be mobilized and vessel loops placed for proximal and distal control. Plan was to create proximalization of arterial inflow so inflow would come off the axillary artery. PTFE graft was tunneled along the medial aspect of the arm. Anastomosis was created between the axillary artery and the PTFE graft. At the antecubital fossa the detached cephalic vein was sutured in an end-to-end anastomosis with a portion of the graft. There was strong palpable thrill and audible bruit."