tci General Surgery Coding Alert - 2019 Issue 1

You Be the Coder: Distinguish 36821 from 36825

Question: Surgeons in our practice sometimes create vascular access by arteriovenous fistula or anastomosis for patients who will receive hemodialysis. Please describe these procedures to help me understand when I should use 36821 or 36825 for the service. California Subscriber Answer: Code 36821 (Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)) describes a procedure in which the surgeon creates an arteriovenous anastomosis by connecting a vein to an artery in any site. Surgeons perform the procedure to provide better vascular access in a patient with kidney failure who will receive hemodialysis treatments. You may see this...

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