Arteriovenous Hemodialysis Access Codes (July 2005)

July 2005 pages 9-10 Coding Communication:Arteriovenous Hemodialysis Access Codes Approximately 300,000 patients in the United States have end-stage renal disease (ESRD) and require some form of hemodialysis or peritoneal dialysis. Arteriovenous hemodialysis access is created either by using autogenous venous tissue or if adequate venous tissue is not available, a prosthetic graft. It is well-established that the autogenous access exhibits superior long-term patency compared with prosthetic grafts. Currently only 24% of all access procedures in the United States are performed using autogenous tissue, compared to 80% in Europe. Even in the United States, there is significant variation in...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This July 2005 coding article explains updates and related guidance for arteriovenous hemodialysis access procedures in CPT. It is relevant to coding professionals, vascular surgery practices, and dialysis-related providers who need to understand how the article frames the range of access-creation procedures discussed in the context of CPT 2005 changes and hemodialysis access practice.

Why This Topic Matters

Accurate reporting of vascular access procedures is important for dialysis-related surgical coding and for distinguishing among closely related access-creation approaches discussed in the article.

Article Sections

  1. July 2005 pages 9-10

    Introductory material on hemodialysis access, the clinical context for vascular access creation, and the relevance of current coding updates. The section also introduces the broader themes covered in the article.

  2. Code 36818

    Discussion of the newly added CPT code and the operative approach it is intended to address. The section focuses on the procedural context surrounding this code in CPT 2005.

  3. Description of Procedure: Code 36818

    A step-by-step procedural narrative for the operative approach associated with the code. The description covers the sequence of surgical actions and intraoperative workflow.

  4. Related Codes

    Overview of other CPT codes discussed alongside the primary code, including related access-creation procedures. The section compares the broader family of arteriovenous hemodialysis access coding topics.

What You Will Learn

  • How the article situates hemodialysis access coding within the clinical and surgical context of ESRD care.
  • Which CPT code family and related access-creation topics are discussed in the July 2005 update.
  • How the article organizes the main code discussion, procedural narrative, and related code references.
  • The broader coding themes associated with autogenous and nonautogenous access procedures.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Vascular surgery billing staff
  • Dialysis facility coding professionals
  • Healthcare reimbursement professionals

Codes Discussed


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