tci General Surgery Coding Alert - 2012 Issue 11

Vascular Surgery: 36147 Details Hone Your Diagnostic AV Shunt Coding

Distinguish +36148, 75791.If your surgeon performs an arteriovenous (AV) shunt introduction for diagnostic studies, you can't afford to miss the CPT® guidelines about what's included and what you can separately report.Begin here: The guidelines, new in CPT® 2012, help clarify reporting for 36147 (Introduction of needle and/or catheter, arteriovenous shunt created for dialysis [graft/fistula]; initial access with complete radiological evaluation of dialysis access, including fluoroscopy, image documentation and report [includes access of shunt, injection(s) of contrast, and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena...

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