AMA CPT® Assistant - 2016 Issue 3 (March)

Surgery: Cardiovascular System (Q&A) (March 2016)

March 2016 page 10 Surgery: Cardiovascular System Question: How many incisions are required in order to correctly report code 36818, Arteriovenous anastomosis, open; by upper arm cephalic vein transposition? Answer: Code 36818 requires two upper arm incisions: medial over the brachial artery and lateral to expose a portion of the vein. A tunnel is created between the incisions, and complete dissection of a substantial portion of the cephalic vein is required to allow it to be moved to a more superficial location and pulled through the tunnel for anastomosis with the brachial artery on the medial aspect of the...

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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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