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

 

ZHealth Publishing Coding Q&A

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by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC

Question:
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.

Answer:
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, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC
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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