AMA CPT® Assistant - 2016 Issue 3 (March)
Surgery: Cardiovascular System (Q&A) (March 2016)
March 2016 page 10 Surgery: Cardiovascular System Question: How many incisions are required in order to correctly report code 36818, Arteriovenous anastomosis, open; by upper arm cephalic vein transposition? Answer: Code 36818 requires two upper arm incisions: medial over the brachial artery and lateral to expose a portion of the vein. A tunnel is created between the incisions, and complete dissection of a substantial portion of the cephalic vein is required to allow it to be moved to a more superficial location and pulled through the tunnel for anastomosis with the brachial artery on the medial aspect of the...
Subscribe or sign in to view the full article.
Article Overview
This brief March 2016 CPT Assistant Q&A focuses on cardiovascular surgery coding documentation and operative approach details for an upper arm arteriovenous anastomosis procedure. It is relevant to coders and billers who work with surgical reporting, procedure documentation, and CPT guidance in the cardiovascular system specialty.
Why This Topic Matters
Understanding the documentation expectations for this type of cardiovascular procedure helps coding professionals review operative notes and determine whether the record supports the reported CPT service.
What You Will Learn
- The general documentation points discussed for a cardiovascular surgical procedure.
- How the article frames operative approach details for a CPT-reported service.
- What type of coding question is addressed in this March 2016 Q&A.
- How the article relates procedural anatomy and reporting documentation.
Who Should Read This
- Medical coders
- Coding auditors
- Cardiovascular surgery billers
- Clinical documentation specialists
Codes Discussed
Subscribe or sign in to view the full article.


Quick, Current, Complete - www.findacode.com