Ask Dr. Z

Would 36902 and 36907 be appropriate to code in this case?

"Patient brought back to the hybrid room and placed in supine position on the table. Right arm prepped and draped in sterile fashion. I accessed the AV fistula. A micropuncture needle and sheath were placed. A fistulogram was performed with retrograde filling into the artery. There was a severe stenosis in the right innominate vein into the SVC associated with the TDC. A stiff angled Glidewire was then brought in, and we brought in a 7 French sheath. The patient was systemically heparinized. I then used a Mustang 12 x 60 millimeter balloon angioplasty, which was performed multiple times. After the angioplasty, a repeat fistulogram showed good flow. At this point in time wires were removed. I used a pursestring 4-0 Monocryl stitch and more pressure. Occlusive dressings were placed. The patient tolerated the procedure well and was transferred to the recovery room."