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Date: Aug 27, 2010

Question:

Dr. Z, I love your website. I have a cardiology coding background and am gettng more involved with IR coding, so I search the question and answer database all the time. The following ? came up in a recent case of ours. If a patient comes with dialysis needles in the AV fistula and they remove the needles, insert sheaths and inject, would that be coded with 75791 rather than the 36147 since they did not puncture the graft for a direct access? As what point would that turn to a 36147? Thanks so much, Jane Schappell

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