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Please note this question was answered in 2012. The coding advice may or may not be outdated.

AV shunt intervention

Date: Jul 6, 2012

Question:

Please do NOT include any actual patient medical records with your question. Dr. Dunn, The patient came in with AV fistula and revision was done with new Flixene graft was sewed to the old venous limb and also open thromebctomy performed. Shuntogram was done with evidence of innominate vein stenosis. This was treated with ballon angioplasty. Can we code thsi with 36832 75790 and 35460 and 75978? Dr. Z's vascular book 2009 page # 313 instruction #9 refers PTA is included within the graft (anastomosis to anastomosis) when performed with revision/thrombectomy. Is central vein stenosis can be coded separate since stenosis is not anastomosis to anastomosis? Please clarify. Thanks
Question ID : 3945
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