Ask Dr. Z

Would 36901 and 36002/76942-26 be the correct codes for this procedure?

"LT ARM AV FISTULA ACCESSED FISTULOGRAM PERFORMED REVEALED NO PSEUDOANEURYSM OFF GRAFT ULTRASOUND USED TO INTERROGATE ARM SHOWING LARGE ANEURYSM W/FLOW AWAY FROM MAIN BRACHIAL ARTERY LIKELY SUGGESTIVE OF A BRANCH OFF THE BRACHIAL ARTERY.ULTRASOUND USED 18-GAUAGE SPINAL NEEDLE ACCESS ACTIVE ANEURYSM SAC INJECTED THROMBIN REPEAT INSPECTION SHOW LOSS OF FLOW IN SAC PATIENT HAD NICE PALPABLE RADIAL ARTERY AND GOOD FLOW INTO AV GRAFT.

PATENT AV GRAFT W/NO EVIDENCE OF ANEURYSM COMING OFF GRAFT ULTRSOUND ELVALUTION SHOWING ANEURYSM SAC MEDIAL TO AV GRAFT BUT FAR AWAY FROM MAIN BRACHIAL ARTERY THERE IS ACTIVE FLOW AFTER THROMBIN INJECTION THERE IS PULSATILITY AND NO FLOW IN ANEUYSM SAC."