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Revision, Ligation, and Miller Procedure

Date: Oct 23, 2015

Question:

I am trying to code a case, and my provider and I are in disagreement over my coding. He performed the following: 1. Repair of pseudoaneurysms x 2 AV fistulae, 2. Ligations saprophytic retrograde forearm cephalic vein AV fistula, 3. Miller procedure [minimally invasive limited ligation endovascular revision (4 mm angioplasty balloon), and 4. Fistulogram including central venogram. I coded this case with 36832, thinking that the ligations (37607) and the use of the balloon are included in the revision. I also did not code for the fistulogram (36147), thinking that this was a planned procedure and not the decision to treat. My provider thinks that he should get to code for all procedures. Am I correct in my thinking, or is he?

Question ID : 7247
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