CPT Knowledgebase - Dec 7, 2015

A patient is taken to the operating room (OR) for the creation of a left-sided radiocephalic arteriovenous (AV) fistula. After anesthesia induction, the surgeon performs a left upper extremity ultrasound, which demonstrates the cephalic vein is adequate for creating a primary fistula. The surgeon proceeds with the creation of the AV fistula (code 36821). Should code 76998 be reported because ultrasound guidance was used prior to incision?

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