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 The coding advice may or may not be outdated.
Ligation of a Acquired AV Fistula
Question:
How would you code this? The office wants 37607 (ligation of angioaccess of AV fistula), but the description of that code says of a created AV Fistula, and on this surgery it is not surgically created. Would this be unlisted code?
DX: Acquired AV fistula, not surgically created (HCC) [I77.0]
Procedure(s):
LIGATION, AV FISTULA RIGHT WRIST - Wound Class: Clean
An incision was made over the left radial artery. We traced up and down the artery and found a connection between the radial artery and radial vein. This led to multiple branches. We went around the fistula and all the branches as well using a right angle and tied it off with a 4-0 silk. The fistula was also tied off with 2 4-0 silk sutures. We were unable to palpate the thrill and she had an excellent radial pulse. Satisfied with this we irrigated the wound and closed it in multiple layers.
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!