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Please note this question was answered in 2010. The coding advice may or may not be outdated.

Date: Aug 6, 2010

Question:

Hi Dr Z, During a dialysis catheter exchange, the physician documents a fibrin sheath treated with venous angioplasty. Do you recommend coding 35476/75978 in addition to the catheter exchange code 36581/77001? Are you familiar with the Coding Guide from the American Society of Diagnostic & Interventional Nephrology? This guide suggests this venous angioplasty is warranted and should be separately codeable. Any advice you could provide would be greatly appreciated!

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