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Stent Placement in a Dialysis Graft

Date: Feb 26, 2014

Question:

I may be overthinking this, but I need your expertise. Patient presented for intervention for a pseudoaneurysm within the arterial end of an upper extremity dialysis AVG. In addition, he had 70% stenosis in the venous outflow. Balloon angioplasty of the venous outflow and stent of the arterial pseudoaneurysm were performed, two distinct locations but within one graft. My inclination is to only code the stent, as PTA is bundled into stent placement and the AVG is considered one vessel. Is this correct, or may I separately code for the PTA?

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