Surgery: Cardiovascular System (Q&A) (August 2018)

August 2018 page 10b Surgery: Cardiovascular System Question: Our patient had an infected chronic thrombus and aneurysm in the cephalic vein of her brachiocephalic arteriovenous (AV) fistula. The entire AV fistula was excised. This was accomplished by disconnecting the outflow vein at the brachial artery followed by oversewing the brachial artery. The surgeon then excised the outflow vein with the aneurysm and thrombus. The outflow vein was repaired by suture at the level of the shoulder. What is the appropriate code to report? Answer: CPT code 35903, Excision of infected graft; extremity, should be reported for this procedure. Surgery:...

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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 article presents a short cardiovascular surgery coding question and answer from a CPT® Assistant issue. It is relevant to coders, billers, auditors, and vascular surgery teams who need to understand the article’s coverage of procedural coding for a vascular access case in the CPT system. The content is narrowly focused and includes the scenario, the coding question, and the reported code reference.

Why This Topic Matters

It helps readers determine whether the article applies to vascular access procedure coding and whether they need the full premium discussion before coding similar cardiovascular surgery cases.

What You Will Learn

  • How the article frames a cardiovascular surgery coding question and answer.
  • Which general type of CPT procedural issue the article addresses.
  • The scope of the vascular access scenario discussed in the Q&A format.
  • The context of an August 2018 CPT® Assistant cardiovascular surgery item.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billers
  • Vascular surgery practice staff
  • Clinical documentation specialists

Codes Discussed


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