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Multiple AVF Procedures, Different Zones

Date: Aug 18, 2014

Question:

Could you please help with this coding scenario? The physician placed a stent in the innominate vein (37238) after accessing AVF (36147) and then placed a stent into the venous outflow, but also performed an angioplasty of the brachial artery. If the second stent is reported with 37239, can I report codes 35475, 75962 instead? Before, the rule was to code the arterial if they did both venous and arterial angioplasty.

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