ZHealth Publishing Coding Q&A
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by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC
How would you bill for crisscross infusion catheters placed in an AV dialysis fistula? Fistulogram showed thrombus within AV fistula with total occlusion. Successful crisscross placement of 5 F sheath and 10 cm infusion catheter within the venous limb directed peripherally and 6 French with 10 cm infusion catheter within the arterial limb directed centrally.
CPT code 36904 describes removal of thrombus by any method (thrombolysis here). Both catheter placements, the imaging, and removal of thrombus by any method is included with CPT code 36904.
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