AMA CPT® Assistant - 2015 Issue 1 (January)

Surgery: Cardiovascular System (Q&A) (January 2015)

January 2015 page 13b Surgery: Cardiovascular System Question: What CPT code(s) is reported for implantation of a hemodialysis reliable outflow (HeRO) graft device for dialysis? The HeRO graft kit is comprised of an arterial graft component and a venous outflow component connected during surgery to form one system. The placement is similar to both tunneled cuff catheter placement and graft placement (36558, 36830). Answer: The HeRO device insertion would be reported using code 36830, Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft, (eg, biological collagen, thermoplastic graft), with modifier 52, Reduced services, appended...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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