Please note this question was answered in 2021. The coding advice may or may not be outdated.
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?
Need to ask Dr.Z?
Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!Ask Dr. Z a question now!