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Ligation branch with fistula creation via 2 different incisions

Date: Jun 4, 2021

Question:

Procedures: 1) Hemodialysis access, autogenous fistula, branchiocephalic, left antercubital crease. 2) Ligation of large accessory branch via small separate incision, left extremity.

The surgeon performed creation of arteriovenous fistula. Also performed closure commenced after making a small separate stab incision, closing an obviously large and a clearly visible cutaneous tributary.

Is code 36821 (arteriovenous creation) included with ligation (37607) when both are done at the same encounter via two different incisions? Or do we code both separately?

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