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Coder used 36904 but I'm not seeing this. However, unsure what code should be used in this case ??

INDICATIONS: Patient had a Cimino fistula ligated due to successful kidney transplant. Now having symptoms in the hand and shown to have prominence over the left radial artery and acute thrombosis of the remaining portion of the fistula.

SURGERY: 15 blade for incision over old incision. Dissection down to the radial aneurysm. Scissors dissected the fistula from surrounding adhesions. Proximal and distal radial artery were isolated, and control achieved. Proximal artery was palpable but distal artery had no pulse and not even dopplerable. Heparin given and proximal radial artery clamped. Aneurysm was cut and thrombus cleared out. Balloon used to thrombectomize the distal radial at which point we noted backbleed. Aneurysm was excised. Arteriogram showed distal radial artery showed no significant supply for the hand and we decided to tie off the distal and proximal radial artery. Hemostasis verified and incision closed.