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AV Fistula with Thrombolysis

Date: May 15, 2013

Question:

Patient has a native fistula that is clotted off. The fistula is accessed and imaging is performed, showing the venous end is thrombosed. Thrombectomy is performed, but there is residual clot. A 10 cm infusion catheter is placed, and overnight thrombolysis is started. Patient returns the next day for a follow-up angiogram. Can we report codes 36147, 37187, 37212, and 37214? Our coding staff is having a difficult time knowing when it is appropriate to code thrombolysis for AV fistulae. What is the anatomical landmark you would suggest?

Question ID : 4868
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