AMA CPT® Assistant - 2023 Issue 3 (March)
Reporting Percutaneous Arteriovenous Fistula Creation (36836, 36837) (March 2023)
March 2023 pages 22-26 Reporting Percutaneous Arteriovenous Fistula Creation (36836, 36837) For the Current Procedural Terminology (CPT®) 2023 code set, two new codes (36836, 36837), new introductory guidelines, and new and revised parenthetical notes were added to the Surgery/Cardiovascular System and Radiology subsections to indicate the appropriate reporting for percutaneous arteriovenous fistula creation via a single access of both the peripheral artery and peripheral vein (36836) and via separate access sites (36837) for the peripheral artery and peripheral vein. This article provides an overview of these changes. Cardiovascular System Hemodialysis Access, Intervascular Cannulation for Extracorporeal Circulation, or Shunt...
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Article Overview
This premium article reviews March 2023 CPT guidance on percutaneous arteriovenous fistula creation. It is aimed at coders, billing staff, and clinical documentation teams who need to understand the scope of the new CPT material, the related cardiovascular and radiology update context, and the broader set of accompanying notes and references. The article also includes clinical examples and procedural descriptions to illustrate the reporting scenarios discussed.
Why This Topic Matters
Accurate reporting for newly introduced CPT content depends on understanding how the update is structured and what surrounding guidance was added. This article helps readers identify where the changes apply and how the related notes and references fit into the 2023 code set update.
Article Sections
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March 2023 pages 22-26
Publication details for the CPT Assistant article and its placement in the March 2023 issue.
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Cardiovascular System
Background on the relevant subsection of the CPT code set and the general clinical area addressed by the update.
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Hemodialysis Access, Intervascular Cannulation for Extracorporeal Circulation, or Shunt Insertion
The coding context within the cardiovascular system section and the general reporting area addressed by the article.
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Clinical Example (36836) / Description of Procedure (36836)
A clinical scenario and associated procedural narrative illustrating one of the new percutaneous fistula creation reporting situations.
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Clinical Example (36837) / Description of Procedure (36837)
A clinical scenario and associated procedural narrative illustrating the alternate percutaneous fistula creation reporting situation.
What You Will Learn
- How the article frames the 2023 CPT update for percutaneous arteriovenous fistula creation
- What general topics are covered in the surrounding cardiovascular and radiology guidance
- How the article presents clinical examples and procedural narratives related to the new CPT material
- What kinds of related notes and references were added or revised alongside the update
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Clinical documentation improvement teams
- Revenue cycle professionals
- Healthcare providers involved in dialysis access procedures
Codes Discussed
Code Ranges Discussed
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