Awesome tips CPT code for stent placement in AV fistula

Basics about CPT code for stent placement in AV fistula

Coding guidelines for AV Fistula procedure codes is little different in interventional radiology coding. I have faced many challenges while coding these AV fistula procedure codes. However, as I was coding charts I was learning how to get a correct code for procedure performed. Here, also we will learn the intervention procedure or CPT code for stent placement in AV fistula. The stent is placed to treat any stenosis or occlusion present in AV fistula. Most of the time, it is always preceded with angioplasty and if still not resolved the physician places a stent in AV fistula. Placement of stent in Nephroureteral region have different codes for non-vascular procedures. Let us checkout more in detail.

CPT code for Stent Placement in AV fistula

Need for using CPT code for stent placement in av fistula

As we know if there is any complication present in AV fistula, we have to treat it either with angioplasty, stent, thrombectomy etc. procedures. These are very costly procedures; hence, the medical coder should be very good with the AV fistula coding guidelines given in CPT codebook. The most common diagnosis code using for complication in AV fistula is 996.1 in ICD9.

996.1 – Mechanical complication of other vascular device, implant, and graft

ICD 10 code

               

T82.590A – Other mechanical complication of surgically created arteriovenous fistula, initial encounter

Now, as will start using ICD 10 codes from October 2015 we should learn ICD10 code as well. Here, you can easily see the differences between ICD9 and ICD10 codes.  Now, the above code will be common for all the complication occurring in AV fistula.

Cpt Code for Stent placement in AV fistula in detail

There are only few CPT codes used for Stent placement in AV fistula. The codes are divided depending whether the procedure is done on artery or vein. Hence, there is an initial code for both artery and vein and an add-on code for each additional artery or vein treated. Below are the CPT codes in detail for Stent placement in AV fistula.

37236: Transcatheter placement of an intravascular stent(s) (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery

        +37237: each additional artery

 37238: Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein

        +  37239: each additional vein

These CPT codes are specific only for AV fistula. If you have, stent placed in lower extremity, intracranial, extracranial region, coronary etc. they are specific CPT codes for each specific location. Do not use these CPT codes when there are already procedure codes for that anatomic location.

8 Thoughts to “Awesome tips CPT code for stent placement in AV fistula”

  1. […] which is very important for coding vascular procedures. In addition, you can check how a stent placement is coded in AV fistula, which will help you in coding a therapeutic procedure. Therapeutic procedures are coded separately […]

  2. […] Coder) exam, which has few questions from this section as well. Now, let us checkout how we code a Stent placement procedure in Carotid and Innominate […]

  3. […] in removing any obstruction or deposits in the path of blood flow. We have already learnt about coding angioplasty in AV fistula, which is put more light on this […]

  4. […] and intervention procedure. For placement of central venous catheter, stent placement, angioplasty, AV fistula exam etc. all these vascular procedures require ultrasound guidance. But CPT code 76937 need three […]

  5. […] Code 33741 includes percutaneous access, placing the access sheath(s), advancement of the transcatheter delivery system, and creation of effective intracardiac atrial blood flow. Codes 33741, 33745 include, when performed, ultrasound guidance for vascular access and fluoroscopic guidance for the intervention. Code 33745 additionally includes intracardiac stent placement, target zone angioplasty preceding or after stent implantation, and complete diagnostic right and left heart catheterization, when performed. Codes 33741, 33745 are typically used to report creation of effective intracardiac blood flow in the setting of congenital heart defects. Code 33741 (transcatheter atrial septostomy) involves the percutaneous creation of improved atrial blood flow (eg, balloon/blade method), typically in infants Diagnostic cardiac catheterization is not typically performed at the same session as transcatheter atrial septostomy (CPT code 33741) and, when performed, may be separately reported. Diagnostic cardiac catheterization is typically performed at the same session with 33745 and the code descriptor includes this work, when performed. CPT Code 33745, 33746 are used to describe intracardiac stent placement. Multiple stents placed in a single location may only be reported with a single code. When additional, different intracardiac locations are treated in the same session, 33746 may be reported. Codes 33745, 33746 include all balloon angioplasty(ies) performed in the target lesion, including any pre-dilation (whether performed as a primary or secondary dilation), post-dilation following stent placement, or use of larger/smaller balloon, to achieve therapeutic result. Angioplasty in a separate and distinct intracardiac lesion may be reported separately. Use 33746 in conjunction with 33745. Read also: Coding Guide for Stent and Angioplasty placement CPT codes […]

  6. […] any embolization procedure that is different than most of the other vascular interventions, such as angioplasty and stent placement, is that it is billed per surgical field treated, not per vessel embolized. It does not matter how […]

  7. […] treatment is reported with 34701. Nonselective catheterization is included in these codes. Balloon angioplasty and/or stenting at the sealing zone of an endograft is an integral part of the procedure. […]

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