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DRIL of lower extremity

Date: Sep 18, 2017

Question:

We have a patient who has a lower extremity arteriovenous graft (popliteal artery to common femoral vein) that is used for dialysis, as patient has no viable options left on upper extremity. The patient developed severe extremity pain suggesting of steal syndrome, therefore a DRIL procedure was done on the lower extremity. As code 36838 specifies upper extremity, would the coding be 36832 (a revision to AV fistula), or would this be reported with an unlisted code?

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