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CPT Knowledgebase - May 10, 2022
What is the correct code to report a revision of previous left brachiocephalic arteriovenous (AV) fistula with ligation of the large arterialized collateral? The arterialized collateral originated approximately 3 cm above the antecubital crease on the lateral aspect of the fistula. After local anesthetic was infiltrated over this area, an incision was made and carried down through the subcutaneous tissue. The arterialized vein was located and carefully dissected circumferentially and traced to its origin from the main arterialized cephalic vein. It was triply ligated with silk sutures, improving central fistula flow. Careful inspection of the fistula could not identify any other significant collaterals. As a result, this wound was irrigated and closed by approximating the subcutaneous tissue and closing the skin in typical fashion.
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