Ask Dr. Z

I haven't had an AV fistulagram w/3 accesses in a long time. Would you please review the codes and let me know if I'm close? "Using US guidance access was gained in the left brachiocephalic vein fistula & directed up the arm centrally for a cephalic venogram, central venogram, & fistulagram (36147) followed by US guided access of the cephalic vein directed down the arm through which a sheath was placed & the catheter placed into the brachial artery for a brachial angiogram & fistulagram followed by angioplasty of the cephalic vein in several locations due to severe stenoses as well as angioplasty of the severe stenosis of the arterial anastamosis (36148, 34575, 75962) followed by a brachial angiogram & fistulagram followed by access of the cephalic vein directed up the arm for venoplasty of the cephalic vein subclavian vein junction followed by a fistulagram (36148-59, 35476-59,75978-59).