tci General Surgery Coding Alert - 2019 Issue Q3

Reader Question: See What Dialysis Circuit Includes

Question: Please help me understand how to code the following case: Using fluoroscopic guidance, the surgeon introduced a needle through the patient’s skin over an arteriovenous graft, serving as the dialysis access point. The surgeon then injected contrast material to visualize the circulation throughout the arterial and venous components of the entire dialysis circuit, including the superior and/or inferior vena cava. The surgeon withdrew the needle and put pressure over the access point to control bleeding. The entire procedure included documenting and interpreting images and preparing a report. Florida Subscriber Answer: What you’ve described is a dialysis...

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