CPT Code 36904 – Crisscross Infusion Catheters Placed in an AV Dialysis Fistula


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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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About the Author

David Zielske is founder and President of ZHealth Publishing and primary author and editor of ZHealth publications. Dr. Z practiced as an interventional radiologist and has over twenty years experience as a coding reviewer and coding expert. He is Board Certified in Radiology and has functioned as an independent interventional radiology, vascular surgery, and cardiovascular coding consultant to a variety of physician groups and hospital providers across the country. He also served as an instructor for over 200 coding seminars.

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