tci General Surgery Coding Alert - 2000 Issue 7

Gain Reimbursement for the Revision of AV Fistulas and Subsequent Thrombectomies

Nugget: Optimize payment for fistula complications by correctly identifying the type of repair, documenting the procedure completely and paying attention to global periods when choosing the right billing method. An arteriovenous (AV) fistula a surgically created connection between an artery and vein that provides future sites for hemodialysis access typically is created in a patient with renal failure for the purpose of dialysis. Thrombectomies performed during the global period of the creation of an AV fistula are not bundled, but to obtain reimbursement, the correct diagnosis code and modifier must be used, coding experts say. The fistula creates a...

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