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My Physician coded this as 15878? but i am unsure of the correct code for this procedure. Unlisted? Thank you PREOPERATIVE DIAGNOSIS: Left brachiocephalic fistula that is too deep. OPERATION: Removal of fat over the vein with liposuction. OPERATIVE FINDINGS DETAILS: The vein was positioned at about 6 mm from the skin at the completion. PROCEDURE IN DETAIL: The patient was taken to the operating room and placed in the supine position. Following smooth induction of general anesthesia, the left arm, hand and upper arm were prepped with Chloraprep solution and draped with sterile linens. A transverse incision was made just above the elbow and another just proximal to the shoulder over the vein. A subcutaneous tunnel was then made over the top of the vein being directed by ultrasound. A suction catheter was vigorously passed over the top, and using finger manipulation, the fat was squeezed from the top of the vein. There was a moderate amount of reaction from multiple previous needle sticks. The vein was verified to be about half as deep at the end of the procedure.