Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2022. The coding advice may or may not be outdated.

Which CPT to code 36832 or 36902 per CPT bundle issue?

Date: Jul 25, 2022

Question:

"PROCEDURE: Fistulogram and ligation of branch of the fistula as well as angioplasty of fistula.

We brought our attention to the right arm where we accessed the cephalic vein in the direction of the anastomosis. We did a fistulogram, which showed stenosis distal to the anastomosis. We also saw a large branch, in which we then made a small incision and dissected it out. We ligated that branch, and then balloon angioplastied the cephalic vein just past the anastomosis with a 6 mm balloon. Once we were done, there was better flow, and a palpable thrill could be now felt higher up in the arm. At this point, we felt that we had improved the flow through the fistula and then removed the sheath and closed the access site with the use of Prolene suture."

Under 36832 in the CPT Codebook it states to not report 36832 with 36902. Does that mean we only code 36832? We get an NCCI edit that 36832 bundles into 36902.

Sign up for a membership to view the answer to this question.

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!