AMA CPT® Assistant - 2022 Issue 10 (October)
Reporting Percutaneous Arteriovenous Fistula Codes (36836, 36837) (October 2022)
October 2022 pages 11-13 Reporting Percutaneous Arteriovenous Fistula Codes (36836, 36837) For the Current Procedural Terminology (CPT®) 2023 code set, two new codes (36836, 36837) have been established in the Cardiovascular System subsection of the Surgery section to report the creation of percutaneous arteriovenous fistula. This article provides an overview of the intent and appropriate use of these new codes. Hemodialysis Access, Intervascular Cannulation for Extracorporeal Circulation, or Shunt Insertion 36836 Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, including fistula maturation procedures (eg, transluminal balloon angioplasty, coil embolization) when...
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Article Overview
This article covers new CPT code set guidance related to percutaneous arteriovenous fistula creation in the upper extremity. It is aimed at coding professionals who work with cardiovascular surgery, hemodialysis access procedures, and interventional imaging services. The discussion focuses on the intent of the new codes, the procedural setting in which they are used, related service components, and illustrative clinical/procedural scenarios.
Why This Topic Matters
Accurate reporting for hemodialysis access procedures depends on understanding how the new CPT codes fit into cardiovascular surgery coding and what related services are considered part of the procedure. This article helps readers identify the scope of the new guidance and the kinds of operative scenarios it addresses.
Article Sections
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October 2022 pages 11-13
Publication metadata and the article’s placement within CPT Assistant. This section identifies the page span for the guidance.
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Reporting Percutaneous Arteriovenous Fistula Codes (36836, 36837)
Overview of the new CPT 2023 codes and the general topic of percutaneous arteriovenous fistula creation. It introduces the purpose and scope of the article.
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Hemodialysis Access, Intervascular Cannulation for Extracorporeal Circulation, or Shunt Insertion
Code-family context within the CPT Surgery section. This part places the new guidance in the broader area of access and shunt procedures.
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Clinical Example (36836)
A representative scenario illustrating the type of upper-extremity case associated with one of the new codes. The section is paired with the related procedural description.
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Description of Procedure (36836)
A stepwise procedural narrative for the associated example. It describes the workflow in broad operative terms.
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Clinical Example (36837)
A representative scenario illustrating the type of upper-extremity case associated with the second new code. The section is paired with the related procedural description.
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Description of Procedure (36837)
A stepwise procedural narrative for the associated example. It describes the workflow in broad operative terms.
What You Will Learn
- How the article frames new CPT guidance for upper-extremity percutaneous arteriovenous fistula creation
- What procedural topics and service components are discussed in relation to the new codes
- How the article uses clinical examples to illustrate typical reporting scenarios
- What broader hemodialysis access coding context the article places around the new guidance
Who Should Read This
- CPT coders
- Physician coders
- Hospital coding staff
- Interventional radiology coding professionals
- Vascular surgery coding professionals
- Hemodialysis access billing staff
Codes Discussed
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