Please note this question was answered in 2021. The coding advice may or may not be outdated.
AV Shunt Fistulogram plasty, thrombectomy and thrombolytic follow up
Question:
"Patient's left upper extremity and indwelling sheath were prepped and draped. Fluoroscopic images demonstrated the Unifuse catheter tip to project in the axillary vein. Contrast Injection demonstrated short segment high-grade stenosis of left axillary vein. Angioplasty was performed of the stenosis of the axillary vein. Angioplasty was then performed throughout the venous outflow as well as balloon-assisted clot maceration. This resulted in significantly improved patency of the venous outflow however there was still no flow through the dialysis circuit as the inflow had not yet been addressed. Under US guidance, the graft was accessed in a retrograde fashion. The Kumpe was advanced beyond the arterial anastomosis into the radial artery. Fogarty balloon was advanced into the radial artery. Three sweeps were performed with Fogarty balloon to remove arterial plug across the anastomosis." Would the correct code be 76937, 36905, and 37214-XU?
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