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Question:
Please advise on coding and using 36147 in declot of severe stenosis with access obtained in cephalic vein in the mid foremarm, after attempt to access cephalic vein from basilic vein without success therefore the entry into cephalic via antecubital space was obtained and then angioplastied. A fistulogram was taken prior to procedure.Our endovascular lab coded using 36147; 75978; 35476; & 75791, but coding staff said that we should not be charging 75791 nor 36147 just the 35476 & 75978. Your expertise to clarify would be greatly appreciated as to the appropriateness of our original charges.
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