icd-10 pcs code for arteriovenous dialysis graft

Full Answer

What is a dialysis circuit in CPT?

Dialysis circuit: A term used in CPT interchangeably to refer to an arteriovenous fistula or an arteriovenous graft. The dialysis circuit begins with the arterial anastomosis and ends where the superior or inferior vena cava are connected to the right atrium of the heart.

What is the CPT code for angioplasty with fistulogram?

If more than one angioplasty is needed in the peripheral segment, CPT 36902 is reported only once to capture all angioplasties in the peripheral segment. Also, because these first six codes are progressive hierarchal codes , if a diagnostic fistulogram is needed in addition to the angioplasty, the fistulogram is also included in this code.

What is the PTFE code for removal of axillary graft?

But, only the axillary graft is removed." Surgeon wants to report 35654 for new PTFE axil-fem-fem and 35907 for removal of axillary graft. Is this appropriate since the fem-fem portion was not removed, only a new anastomosis from the axillary to the right femoral graft was added?

What is a vascular embolization in dialysis?

A vascular embolization or occlusion involves placing devices such as coils, beads, or other vessel blocking devices to completely occlude an accessory vein and/or to partially occlude a vein and improve flow in the dialysis circuit.

What is an AV graft for dialysis?

An arteriovenous (AV) graft is a deliberate connection between an artery and vein that is created by interposing graft material between them. A decision to choose an AV graft over another type of hemodialysis access is individualized based upon anatomy and life expectancy, among other factors.

What is a arteriovenous fistula graft?

An arteriovenous graft is created similarly to a fistula, connecting a vein to an artery, but it employs a plastic tube that is healed over by its surrounding tissue. Hemodialysis can be performed by inserting two needles on either side of the tube--arterial and venous.

What is the CPT code for arteriovenous graft?

For the initial access in AV fistula or graft or the direct puncture, CPT code 36901 should be used.

What is the difference between AV fistula and graft?

An AV graft requires the patient to take good care of the access point, as it might be prone to complications otherwise. The third option is the arteriovenous fistula, deemed the best option by most doctors. Rather than using a plastic tube, a fistula is created by connecting an artery directly to a vein.

What's the difference between a fistula and a graft for dialysis?

a fistula, which is made by joining together an artery and vein to make a bigger high-flow blood vessel. a graft, in which a soft plastic tube is placed between an artery and a vein, creating an artificial high-flow blood vessel.

Is an AV graft a shunt?

An AV fistula is a surgically placed "shunt"; that is, an artery is directly sutured to a vein. An artery is a high-pressure vessel that carries blood away from the heart and delivers nutrients and oxygen to the tissues.

What is the CPT code for percutaneous thrombectomy of AV graft?

36831 is for open thrombectomy of AV graft without graft revision. The AV graft is considered one vessel for coding purposes so even though the physician performed open thrombectomy in both venous and arterial vessels youcode only 36831.

What is the difference between 36901 and 36902?

In addition to including the work of balloon angioplasty within the peripheral segment, code 36902 includes all of the diagnostic services and therefore 36901 may not be re- ported in conjunction with 36902.

What codes are used to report hemodialysis provided via an AV fistula graft or catheter?

Coding: 36901, 36909. Code 36901 is the base code reported and describes the fistulagram. Code 36909 is reported once for the embolization. These codes include all catheterizations performed from direct puncture of the fistula, as well as all diagnostic angiography performed.

Why do you need AV graft for dialysis?

An AV fistula causes extra pressure and extra blood to flow into the vein, making it grow large and strong. The larger vein provides easy, reliable access to blood vessels. Without this kind of access, regular hemodialysis sessions would not be possible.

What is a brachial axillary arteriovenous graft?

Use of a synthetic prosthesis to construct on the upper arm an arteriovenous brachial-axillary graft or on the forearm a brachial-brachial loop graft is currently the recommended treatment alternative for patients who have exhausted all native fistulas access options.

What is an arteriovenous graft?

In an arteriovenous graft, this is the anastomosis between the artery and the one end of the graft attached to the artery. Dialysis circuit: A term used in CPT interchangeably to refer to an arteriovenous fistula or an arteriovenous graft.

What is an artery graft?

Arteriovenous graft: Placement of a piece of vein from the patient’s own body or synthetic material (e.g., PTFE) to intentionally connect an artery and a vein to allow a patient to receive dialysis.

What is a procedure performed in/through a dialysis circuit?

A procedure performed “in/through” the dialysis circuit is any procedure (e.g., angioplasty, stent, etc.) performed by placing a needle (s) or catheter (s) into a structure that is part of the dialysis circuit.

How many anastomoses are there in an arteriovenous fistula?

Arterial anastomosis: In an arteriovenous fistula, this is the single anastomos is between the artery and the vein. In an arteriovenous graft, this is the anastomosis between the artery and ...

Which segment of the dialysis circuit begins with the subclavian and innominate veins?

Central segment: The part of the dialysis circuit that begins with the central veins (the subclavian and the innominate veins) and continues through the superior vena cava to the right atrium of the heart for a dialysis circuit in the arm.

Where does dialysis end?

The dialysis circuit begins with the arterial anastomosis and ends where the superior or inferior vena cava are connected to the right atrium of the heart. Peripheral segment: The part of the dialysis circuit that begins with the arterial anastomosis and continues through the entire axillary vein or cephalic vein for a dialysis circuit in the arm ...

What is the CPT code for fistulogram?

The CPT guidelines in the section of the manual that precedes CPT codes 36901-36909 state that CPT codes 36901-36906 (which include the code for a diagnostic fistulogram and all interventions in the peripheral segment of the graft) may not be reported with CPT codes 36831-36833.

What is revision of AV fistula?

A revision of an AV fistula/graft is a repair that allows blood to flow through the AV fistula/graft more effectively. There are many different complications that can occur in an AV fistula/graft including but not limited to stenosis, a pseudoaneurysm, or a non-maturing fistula/graft. Because a revision of an AV fistula/graft may treat many ...

What is the procedure called when you insert a balloon into a stenosis?

This procedure is sometimes called a “patch angioplasty.”.