By Katharine L. Krol, MD, FSIR, FACR, RCCIR. They include both open and percutaneous endovascular approaches. Emails full of tips, news, resources and advice will be sent your way soon. Tip 2: Follow Rules for Primary Arterial Mechanical Thrombectomy %PDF-1.4 % 5"F_jELo5yxKW:)(Ki^%T~!=!T g=>,6SFW_,bv y6[' tU1DcR,Id.-P8ih&@dF_?{vbhpV{U[3UF !&8`ZC;{YyM3Ly [texts-excerpt] penalty for cutting mangroves in floridaFREE EstimateFREE Estimate If your cardiologist performs a secondary transcatheter procedure, you should report +37186 (Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injections, provided in conjunction with another percutaneous intervention other than primary mechanical thrombectomy (List separately in addition to code for primary procedure)). There is no evidence of erythema, edema or tenderness in the arm. A 4 cm transverse incision was made with an existing transverse scar in the antecubital fossa. Others stay in the hospital overnight or for several days depending on the location of the clot and the surgery or procedure that was performed and the need for ongoing blood thinners. *This response is based on the best information available as of 03/03/16. A secondary transcatheter thrombectomy procedure is performed for the removal or retrieval of segment(s) of a thrombus or embolus, typically after another percutaneous intervention that was complicated by a thrombotic event, according to CPT Assistant. [ 17 0 R] 29, No. A thrombectomy does carry some risks, including: Your recovery after a thrombectomy will depend on the type of procedure you have and a variety of other factors. This coding information may include codes for procedures for which Boston Scientific currently offers no cleared or approved products. . endobj The arteriograms were read as above. Providers should select the most appropriate code(s) and modifier(s] with the highest level of detail to . "WU*{wWc/NN?cnfFoFoFoFoF_qMY02TCi0t&1.>iqsw.Kw` ''6m endstream endobj 53 0 obj <> endobj 54 0 obj <> endobj 55 0 obj <> endobj 56 0 obj <> endobj 57 0 obj <>stream }eLcKF ibZL[?J{,~^8d8[:%m,+"t7zZjkj&XfS5/P^}}p g}J/yk5d(yW5{6|H8} (+Z6D'?P*R^l,;X6_`==: %%EOF As described by CPT, percutaneous transluminar mechanical thrombectomy (37187) is reported once per session, regardless of the number of veins treated. He also administered a TPA injection. Note: You should never report 37184 in conjunction with intracranial arterial transluminal mechanical thrombectomy code 61645, fluoroscopy code 76000, or injection code 96374, according to the CPT guidelines. A thrombectomy can greatly reduce the risk of death or permanent disability if performed promptly. In addition to the five new codes for MT, code 37209 was updated for the 2006 CPT Manual. mLp4'b+8r~%uHcb?? You should report 37184 (Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel) for endovascular mechanical thrombectomy in the initial arterial vessel, per CPT Assistant. To report a true diagnostic angiogram, append modifier 59 (Distinct procedural service) to 75746. If your cardiologist uses venous transcatheter therapies, you should report code 37187 (Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance) for the initial application. Poisoning by thrombolytic drug, undetermined. endstream When your cardiologist [], Follow 5 Effective Rules to Boost STEMI, NSTEMI Coding Skills, Remember: Report I21.4 for type 1 NSTEMIs or nontransmural myocardial infarctions. Talk to your provider about other ways to reduce the risk of blood clots. xSMo@[lnfgw!ES"J p8)A-. Sp4#Y_]:B"4"1mOD|vG=`^,#lV4*~P^f:}^Nf;tN E}MA .ZDp3/`/1bpDR#8?\E1["2*Jd_P o, 're. <> This First Coast Billing and Coding Article for Local Coverage Determination (LCD) L33763 Vascular Stenting of Lower Extremity Arteries provides billing and coding guidance for frequency limitations as well as diagnosis limitations that support diagnosis to procedure code automated denials. Dont miss: Your cardiologist will always perform a secondary arterial mechanical thrombectomy in conjunction with another primary intervention such as a transluminal balloon angioplasty or a stent placement, and you will report those procedures separately. <> Thrombectomy codes include getting rid of clot by any method, including balloon maceration.. Created with Sketch. 0000014329 00000 n He also administered a TPA injection. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 14 0 R/Group<>/Tabs/S/StructParents 1>> You have separate code sets for both arterial (37184-+37186) and venous transcatheter therapies (37187 and 37188). 0 0000009861 00000 n Embolization / Occlusion . Answer: As described by CPT, percutaneous transluminar mechanical thrombectomy (37187) is reported once per session, regardless of the number of veins treated. Policy. But if your thrombectomy is planned, your healthcare provider may ask you to: Your procedure will vary depending on the type of thrombectomy you have. Centers for Disease Control and Prevention. The cardiologist will also preoperatively plan the thrombectomy. Alternatively, when arterial pathology is known prior to an endovascular intervention and pre-procedure planning is focused on correction of the pathology (eg angioplasty or stenting), secondary thrombectomy may be performed to remove short segments of thrombus also known to be present to prevent complications (distal clot embolization) or to enhance the correction of the pathology. Everything we have learned about AV dialysis circuit interventions so far tells us that the open thrombectomy should be coded with CPT 36831 and the percutaneous balloon angioplasty should be coded with 36902, but again, the CPT guidelines say you may not report these two codes together. 48 0 obj <> endobj xref 48 23 0000000016 00000 n Physicians use ICD-10 CM codes for diagnoses and CPT codes for procedures, regardless of whether the setting is inpatient or outpatient. Previously, percutaneous maintenance of a dialysis access circuit was reported with a CPT code for the introduction of a needle into the access and additional component coding to appropriately describe endovascular intervention (s) (for example, angioplasty or thrombectomy). 11 0 obj (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7156540/). Thrombectomy, open, arteriovenous fistula without revision, autogenous or non-autogenous dialysis graft (separate procedure) 36831 $848 Facility Only . Additionally, you should never report +37185 in conjunction with 61645 for the treatment of the same vascular territory. endstream endobj 1049 0 obj <. You have separate code sets for both arterial (37184-+37186) and venous transcatheter therapies (37187 and 37188). The correct code for the radiological portion of the main pulmonary artery angiography is 75746-26 (Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation; Professional component). (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613201/), (https://missionthrombectomy2020.org/know-the-facts/), Visitation, mask requirements and COVID-19 information, Heart, Vascular & Thoracic Institute (Miller Family). Thrombectomy is a common or procedure. The graftotomy sites were closed using 5-0 Prolene running suture and a 19 gauge butterfly placed in the venous end of the graft. American Hospital Association ("AHA"). Thrombectomy with catheter of mesenteric artery by abdominal incision 21841006 SNOMED CT code demo request yours today subscribe start today newsletter free subscription Thank you for choosing Find-A-Code, please Sign In to remove ads. endobj The latest information about heart & vascular disorders, treatments, tests and prevention from the No. trailer <<16A9AA9C32FA437D841E9118AE6FC6CE>]/Prev 111815>> startxref 0 %%EOF 70 0 obj <>stream If a percutaneous thrombectomy is performed in more than one vein, can each one be reported separately? 0000005368 00000 n 21 0 obj 0000013907 00000 n Operative Findings: The patient had thrombus in the loop Gore-Tex fistula in the right forearm. _R#r{)"3 `*c endstream endobj 444 0 obj <. Af) 29, No. Tip 5: Put it All Together With an Example. Mechanical thrombectomy involves the removal of a thrombus (blood clot) from a vessel (eg, thrombotic occlusion of an extremity artery) to help restore circulation, according to CPT Assistant Vol. However, the frequency of thrombectomy is highly variable and ultimately depends on the location and extent of the blood clot. endobj 76000 Mechanical thrombectomy devices for treatment of stroke. Coding example: In the hospital, the cardiologist performed a diagnostic angiography on the main pulmonary artery. The review of medical records indicates procedure code 37184, 37185 and 37186 are being billed . <> The decision on whether you need an anticoagulant, a thrombolytic or a thrombectomy is based on multiple factors and will ultimately be decided on by your healthcare provider. 3 0 obj A thrombectomy is a surgery to remove a blood clot from an artery or vein. HtW\5oo#A$V Z@E'%CS}tiU\/:vuq&q=}g=Mj6ml&h]4`/CG4M F. Operative Technique: After induction of a right axillary block without complications, the right upper extremity was prepped with duraprep solution and draped using sterile towels and sheets. For additional information on this or related content, please email, Sexual Assault Nurse Examiner (SANE) Core Course, Now Available: The 2021 Holiday Guide for Healthcare Professionals, Self-Care 2021: An Elite Learning Resource Guide, Immunization Awareness and Adult Vaccinations, COVID Fatigue, FAQs, and Vaccine Hesitancy, Healthy Lifestyles and Managing Heart Disease Risk, Cardiac Rehabilitation for Therapy Professionals, Nursing Rated Most Trusted Profession in Recent Gallup Poll, Symptoms and Treatments for Major Depressive Disorder, Understanding the Risks of Heart Disease in Women. 3 0 obj The surgery may last an hour or multiple hours depending on the location and extent of the blood clot. <>>> 19 0 obj endobj Tip 4: And, Rely on These Codes for Venous Mechanical Thrombectomy <> The ICD-10 CM diagnosis codes are used for claims adjudication. <> xTMo0Q*VE%vEt ;;HIe~d>qCD>Qt5+]wIBJ`H&0zq7} j7g "ms`l&l)X Some blood clots only require treatment with medicine like anticoagulants or thrombolytics. The Current Procedural Terminology (CPT) code range for Embolectomy/Thrombectomy Procedures on Arteries and Veins 34001-34490 is a medical code set maintained by the American Medical Association. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Last reviewed by a Cleveland Clinic medical professional on 05/02/2022. Get fresh tips and insights emailed to you, This content was produced in its entirety for ADVANCE Healthcare Network (1985-2019, now Elite Healthcare) and features original contributions from a qualified and experienced editorial team or was provided to ADVANCE by credible industry experts or qualified healthcare professional(s). Next Article The procedure codes listed below are applicable to Venous/Arterial Mechanical Thrombectomy (PMT) cases. Tip 3: Delve Into Secondary Arterial Mechanical Thrombectomy. Caution: You should never report +37186 in conjunction with the following codes: Tip 4: And, Rely on These Codes for Venous Mechanical Thrombectomy. Tip 5: Put it All Together With an Example 33233: Cardiovascular: Removal of permanent pacemaker pulse generator. American Hospital Association ("AHA"), Arterial Embolectomy/Thrombectomy Procedures, With or Without Catheter, Venous Embolectomy/Thrombectomy, Direct or With Catheter, Jury Convicts Physician for Misappropriating $250K From COVID-19 Relief, REVCON Wrap-up: Mastering the Revenue Cycle, OIG Audit Prompts ASPR to Improve Its Oversight of HPP, Check Out All the New Codes for Reporting Services and Supplies to Medicare. Z48.812 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Adjunctive angioplasty of the atherectomized lesion was performed in 55 % of cases, stenting in 0 %, and adjunctive therapy for tandem lesions in 39 %. %PDF-1.6 % Codes 37236-37239 are the new codes. stream To report an open radical nephrectomy, use CPT code 50230 Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy. However, services performed for any given diagnosis . I hope this helps. Your healthcare provider may ask you to wear compression stockings to prevent clots in your legs. Acute upper or lower extremity arterial limb ischemia. After a thrombectomy, a surgical team monitors your vital signs as you come out of anesthesia or sedation. +96375 ICD-10-CM Diagnosis Code T45.614. endobj KarenZupko & Associates, Inc. | 312.642.5616 | information@karenzupko.com. than dialysis graft or fistula) this code has 2 issues -First it is solely for a prosthetic graft originally placed -AND has a bundling edit with the revision codes, whereas the thrombectomy codes do not. And, you should report +37185 ( second and all subsequent vessel(s) within the same vascular family (List separately in addition to code for primary mechanical thrombectomy procedure)) for the second or all subsequent vessels within the same vascular family. 20 0 obj The code previously described its use only in arteries, which reflected the use when the code <> The tables below contain a list of possible CPT/HCPCS/ICD -10-PCS codes that The tables below contain a list of possible CPT/HCPCS codes that may be used to bill for dialysis circuit interventions. 4 0 obj 9. endobj Tip 1: Define Mechanical Thrombectomy for Clarity These procedures . And, you should report +37185 ( second and all subsequent vessel(s) within the same vascular family (List separately in addition to code for primary mechanical thrombectomy procedure)) for the second or all subsequent vessels within the same vascular family. 1072 0 obj <>/Filter/FlateDecode/ID[<5343C858D6BA874797169103B3ECDC80><423DA04E8331BC42A6D944E079F6CEF6>]/Index[1048 38]/Info 1047 0 R/Length 114/Prev 494124/Root 1049 0 R/Size 1086/Type/XRef/W[1 3 1]>>stream endobj For the IVC filter placement, you should report 37191 (Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance [ultrasound and fluoroscopy], when performed). Jean Kayser CPC CIRCC xAk@9f<3;8&`HI88R_G&xoap`V^LF#8+ME(@"M:MoI;4NJ ~ 8A)S? %%EOF 12 0 obj The procedure can limit damage and loss of bodily functions by restoring blood flow as quickly as possible. "|LFR]A)ifb]ff%8f]N]QJwV.S *fi b# 1085 0 obj <>stream Hint: If your cardiologist uses venous transcatheter therapies, you should report 37187. Subscribe to Codify by AAPC and get the code details in a flash. right-arrow The fistula is actually the third such loop fistula placed in the concentric fashion with this being the outermost of the three fistulas. The procedure performed is a Thrombectomy, which is listed in the CPT manual index. When your cardiologist performs a primary arterial mechanical thrombectomy, he will diagnose the thrombus prior to performing the mechanical thrombectomy procedure. endobj 9 0 obj Article Guidance. 0000020936 00000 n A secondary transcatheter thrombectomy procedure is performed for the removal or retrieval of segment(s) of a thrombus or embolus, typically after another percutaneous intervention that was complicated by a thrombotic event, according to CPT Assistant. The fistula is actually the third such loop fistula placed in the concentric fashion with this being the outermost of the three fistulas, and the only one currently functioning with the other two being disconnected. Tip 2: Follow Rules for Primary Arterial Mechanical Thrombectomy. [ 7 0 R] . Thrombolytics, or thrombolytic therapy, are drugs that dissolve acute (sudden) clots. In those . 4 0 obj GB.8ATBAT The graftotomy). <> Dont miss: Codes 37184-37188 include the intraprocedural fluoroscopic radiological supervision and interpretation services for the thrombectomy guidance, according to the CPT guidelines. 5 0 obj <> Sometimes a thrombectomy must be performed within a matter of hours to prevent life or limb-threatening complications from occurring. Mechanical thrombectomy involves the removal of a thrombus (blood clot) from a vessel (eg, thrombotic occlusion of an extremity artery) to help restore circulation, according to CPT Assistant Vol. g(p A review of the entries under this term reveals that your choice will be Dialysis Graft without Revision 36831. Peggy Hapner is manager of the HIM consulting division at Medical Learning Inc. (MedLearn), St. Paul, MN. endobj This code includes the open access to the brachial artery, all of the roadmapping and fluoroscopic guidance, stent placement, post-deployment angioplasty and completion angiography. Venous and arterial phase fistulograms were done using total of 40 cc of hypaque solution. 443 0 obj <> endobj Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. other interventions (eg percutaneous transluminal angioplasty) may be performed in conjunction with the thrombectomy to treat a previously unidentified (revealed only after clearing the thrombus) underlying pathology (eg, stenosis), and may be separately reported. 17 0 obj Question: After he performs the thrombectomy, he will conduct a post-procedure evaluation. The code specifies "vein (s)" which means any number of veins treated is reported as 37187. Pre- and Postoperative Diagnosis: Thrombosis of right forearm loop Gore-Tex hemodialysis fistula with no mechanical problem identified, Procedure Performed: Thrombectomy of right forearm graft. The procedure may help you if the clot blocks blood flow to a part of your body, putting you at risk for: You might not be a candidate for a thrombectomy if you have: Not all blood clots require intervention. Blood vessel damage or stenosis (narrowing). Endovascular Today (ISSN 1551-1944 print and ISSN 2689-792X online) is a publication dedicated to bringing you comprehensive coverage of all the latest technology, techniques, and developments in the endovascular field. 36906 Thrombectomy and/or Thrombolysis + Diag Eval $6,456+ Stent & PTBA Peripheral Segment Cleveland Clinic is a non-profit academic medical center. 0000000756 00000 n The cardiologist will also preoperatively plan the thrombectomy. % <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 21 0 R/Group<>/Tabs/S/StructParents 2>> Adverse effect of thrombolytic drugs. Coding solution: For the thrombectomy, you should report 37184. thrombectomy (e.g. Embolus (when a thrombus breaks loose from one location and travels to another location in your body). mechanical thrombectomy, noncoronary, initial vessel: 37184. By Katharine L. Krol, MD; Sean M. Tutton, MD; and Dawn Hopkins, left-arrow Noridian is providing coding clarification and advice for reporting percutaneous mechanical removal of a venous thrombus embolized to the central cardiopulmonary circulation, including the right heart and central pulmonary vessels. After he performs the thrombectomy, he will conduct a post-procedure evaluation. Coding solution: For the thrombectomy, you should report 37184. New codes are approved for mechanical thrombectomy. hb```b``Nf`e`*eg@ ~(d*@:LaKsb2f 2sN':- :Dox"hnNQXKToN s-y86Gkk}[y6ErIh dK# "Lp`&XIIpC The patient had thrombus in the loop Gore-Tex fistula in the right forearm. Request a Demo 14 Day Free Trial Buy Now CPT Code Range 34001- 34490 Since this code includes intraprocedural thrombolytic injections, you cannot report the TPA injections separately. Embolectomy/Thrombectomy Procedures on Arteries and Veins. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare 38 Medicaid Services CMS inclu Surgical Procedures on the Cardiovascular System, Surgical Procedures on Arteries and Veins, Copyright 2023. You may see angioplasty performed to macerate clot, says, 61645 for the treatment of the same vascular territory, If your cardiologist uses venous transcatheter therapies, you should report code 37187 (, On the other hand, if your cardiologist performs repeat treatment on a subsequent day during the course of thrombolytic therapy, you should report 37188 (, The correct code for the radiological portion of the main pulmonary artery angiography is 75746-26 (, For the IVC filter placement, you should report 37191 (, Hint: If your cardiologist uses venous transcatheter therapies, you should report 37187. hb```f``S @Q&x6-@R$"U58IdaA|!@Y0(%joUX ld" c,%v'{N0lee2b+<>< x!dgFO'|kN$c8!9/@A~ .h @ di91 37184 . open or percutaneous; each additional vein . The cardiologist performed an angiojet thrombectomy with multiple passes in the main pulmonary artery and an IVC venogram to identify the renal veins, as well as an IVC filter placement. You should report 37184 (Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel) for endovascular mechanical thrombectomy in the initial arterial vessel, per CPT Assistant. other interventions (eg percutaneous transluminal angioplasty) may be performed in conjunction with the thrombectomy to treat a previously unidentified (revealed only after clearing the thrombus) underlying pathology (eg, stenosis), and may be separately reported.. Sponge, needle and instrument counts were reportedly correct. Anticoagulants are drugs that thin your blood to prevent more blood clots from forming and allow your body time to try to dissolve non-emergency clots over time. *This response is based on the best information available as of 03/03/16. Your cardiologist will always perform a secondary arterial mechanical thrombectomy in conjunction with another primary intervention such as a transluminal balloon angioplasty or a stent placement, and you will report those procedures separately. <>/Metadata 626 0 R/ViewerPreferences 627 0 R>> A blood clot, also known as a thrombus, can interrupt the blood flow to your extremities and/or organs that can be limb or life-threatening. stream Acute superior mesenteric artery embolism: reperfusion with AngioJet hydrodynamic suction thrombectomy and pharmacologic thrombolysis with the EKOS catheter Vascular . 36831 Thrombectomy, open, arteriovenous fistula without revision, autogenous or non-autogenous dialysis graft. You must also know if the arterial mechanical thrombectomy is primary or secondary. Dont forget: If your cardiologist performs a bilateral venous mechanical thrombectomy through a separate access site(s), you should append modifier 50 (Bilateral procedure) to code 37187. ICD-10-CM Diagnosis Code T45.615. Conviction is just one of more than 130 such criminal cases involving 80 million A federal jury convicted a Colorado physician Jan. 13 for misappropriating about 250000 from two separate COVID19 relie Can depression increase the risk of heart disease In recent years scientists have attempted to establish a link between depression and heart disease. %PDF-1.5 0000011433 00000 n endobj A review of the entries under this term reveals that your choice will be Dialysis Graft without Revision 36831. For Medicare, physician reimbursement is under the RBRVS system. CPT Abbreviated Description . Coding example: In the hospital, the cardiologist performed a diagnostic angiography on the main pulmonary artery. 8 0 obj stream Tip 1: Define Mechanical Thrombectomy for Clarity. g(af ? ?^EWU*{^E. The same conditions noted above apply for the open radical nephrectomy in that the Gerota's fascia must be moved with the . open, flexor; toe, single (separate procedure . 0000003795 00000 n 0000003211 00000 n The new descrip-tor for 37209 allows use of this code for exchange of a catheter during thrombolytic infusion therapy in either a vein or an artery. A blood clot that can be treated with medication. Dont miss: Codes 37184-37188 include the intraprocedural fluoroscopic radiological supervision and interpretation services for the thrombectomy guidance, according to the CPT guidelines. A graftotomy was made transversely in the distal venous limb of the graft and in the first centimeter of the arterial end of the graft and thrombectomy accomplished with 3 and 4 Fogarty catheters with brisk arterial end flow and good venous back-bleeding noted. The correct code for the radiological portion of the main pulmonary artery angiography is 75746-26 (Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation; Professional component). The subcutaneous tissue was approximated using 3-0 Vicryl running suture and the skin edges approximated using 4-0 Prolene running simple skin sutures. 512 0 obj <>stream OBL, ASC, or Hybrid: Which Model Is Right for You? There was no evidence of stenosis in the vein in the antecubital fossa with the median cubital vein remaining widely patent as it has always been with no evidence of venous outflow stenosis in the vein. Note: You should never report +37185 in conjunction with 76000 or injection code +96375, according to CPT. Get useful, helpful and relevant health + wellness information. %PDF-1.6 % Thrombectomy codes include getting rid of clot by any method, including balloon maceration. You should call your healthcare provider if you experience the following after your procedure: A thrombectomy is a surgery to remove a blood clot from an artery or vein. Facility and Professional Coding: 36831 Thrombectomy, open, arteriovenous fistula without revision, autogenous or non-autogenous dialysis graft However, you can separately report catheter placement, diagnostic studies, and other percutaneous interventions such as a transluminal balloon angioplasty and stent placement. more than one month after original operation (list separately in addition to code for primary procedure). 1Y\v%XI-uq\mV;dMx,(2Y$Fs%_g?-dxdQQBo6-6l6\+JrPExpvnGOiTMNqUse$C(nSB_2/ !'o'IO@\3 As stated under Operative Findings, the patient had thrombus in the loop Gore-Tex fistula in the right forearm. (Do not report 37184 in conjunction with 76000, 76001, 90774, 99143-99150.) % endstream endobj startxref 15 0 obj Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision. 2012 Jun;20(3):166-9. doi: 10.1258/vasc.2011.cr0311.