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Amazing tips for Cpt code for Fistulogram

Basics for Cpt code for Fistulogram

Cpt code for fistulogramAn abnormal connection between artery and vein is called as arteriovenous fistula. Generally, it is created for hemodialysis treatment. AV fistula is very important in medical coding. Medical coders have to know everything about AV fistula before coding CPT code for fistulogram or AV fistula. Cpt Code for fistulogram is used very frequently and it has high dollar value. Hence, coders have to code CPT codes of fistula very carefully. Let us learn more about fistulogram or AV fistula or shunt.

Procedure for CPT code for fistulogram

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To study an AV fistula, the physician inserts the needle or catheter into an arteriovenous (AV) fistula or shunt through the skin. AV fistula is created generally on patients who are on dialysis. The catheter is guided into the fistula and toward to area to be treated. Once the catheter reached to target area contrast is injected into it. Films are taken after injecting the contrast to find any abnormality present in the AV Fistula. Cpt Code for fistulogram is coded as per the procedure performed in the fistula. For only taking access to fistula we have a primary code 36147 CPT code. For additional access into the AV fistula, we have separate code 36148. The additional access should have any therapeutic procedure performed like angioplasty or stent placement. Without any therapeutic procedure performed with an additional access cannot allow the coder to code 36148 as per CPT coding guidelines. The main ICD coded for most of the fistulogram procedure is 996.73 or V45.11.

Codes used along with CPT code for Fistulogram

Procedure Description

CPT code

ICD code description

ICD 9 code

ICD 10 code

 

Initial access in AV fistula for fistulogram (includes S&I , Guidance and all imaging studies)

36147

Other complications due to renal dialysis device, implant, and graft

996.73

 

Second or Additional access in AV fistula with therapeutic intervention Procedure

36148

Infection and inflammatory reaction due to other vascular device, implant, and graft

996.62

T82.7XXA

 

 

End stage renal disease

585.6

N18.6

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Renal dialysis status

V45.11

Z99.2

In ICD 10, the amount of codes has increased. Therefore, when we have to code 996.73 in ICD 10 we have several codes depending on the diagnosis occur in the AV fistula like Embolism, hemorrhage, thrombosis etc. Let check the crosswalk for 996.73 in ICD 10.

 

ICD 9 code

ICD 10 code

ICD 10 code description

996.73

T82.818A

Embolism of vascular prosthetic devices, implants and grafts, initial encounter

 

T82.828A

Fibrosis of vascular prosthetic devices, implants and grafts, initial encounter

 

T82.838A

Hemorrhage of vascular prosthetic devices, implants and grafts, initial encounter

 

T82.848A

Pain from vascular prosthetic devices, implants and grafts, initial encounter

 

T82.858A

Stenosis of vascular prosthetic devices, implants and grafts, initial encounter

 

T82.868A

Thrombosis of vascular prosthetic devices, implants and grafts, initial encounter

 

T82.898A

Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter

 Now, I hope you are clear with the procedure performed with CPT code for fistulogram and the ICD codes used with these procedures. Please share if you like the article.

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