AMA CPT® Assistant - 2010 Issue 3 (March)

Dialysis Access (Codes 36147 and 36148) (March 2010)

March 2010 page 3 Dialysis Access (Codes 36147 and 36148) Background To reflect current clinical practice, CPT codes 36147, 36148, and 75791 have been established to report the -diagnostic angiographic evaluation of an arteriovenous (AV) shunt. CPT code 36147 includes the work of establishing a single percutaneous access into the AV shunt with diagnostic contrast imaging of the dialysis circuit. However, if a fistulagram is performed without direct puncture and/or catheter placement into the hemodialysis shunt, that service would be reported with the radiology code 75791. In addition, code 75791 may also be used: for a fistulagram in an...

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