AHA Coding Clinic® for HCPCS - 2012 Quarter 4; Ask the Editor
Hero Graft
Our facility is beginning to use the Hemodialysis Reliable Outflow (HeRO) Graft subcutaneous AV access device. It was recommended that both CPT codes 36830 , Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft), and CPT code 36558 , Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older, should be reported for the implantation procedure. CPT codes 76937 or 77001 would be additionally reported if supported by the documentation. However, since CPT code 36830 is considered a “separate procedure,” would both codes be used in the case of implanting a HeRO Graft? ...
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Article Overview
This premium article is for coders, revenue cycle staff, and clinicians working with dialysis access procedures. It focuses on the HeRO Graft device and discusses related CPT reporting considerations, including the procedure context and the kinds of ancillary imaging guidance that may be referenced in documentation. The article is useful for anyone verifying whether the device placement is being captured appropriately in the medical record and claims workflow.
Why This Topic Matters
Dialysis access procedures can involve multiple procedural components, so understanding how the article frames the implantation workflow helps readers assess documentation and billing relevance before applying the full guidance.
What You Will Learn
- How the HeRO Graft device is described in the context of dialysis access care.
- What general CPT reporting topics are associated with implantation of the device.
- How the article frames related imaging guidance documentation considerations.
- Which organizations or coding references are implicated by the discussion.
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Dialysis facility staff
- Physicians and clinical documentation teams
Codes Discussed
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