AHA Coding Clinic® for HCPCS - 2013 Issue 2; ASK the EDITOR

Two-staged vein transposition

When performing two-staged vein transposition with either the upper arm basilic or cephalic vein for an AV fistula, what is the correct CPT code to report for each individual part of the staged procedure? In the first stage of the procedure, the surgeon performs the vein transposition by creating an anastomosis between the cephalic vein and radial artery. During the second stage of the procedure, “superficialization” was performed, a procedure where the fistula is brought up closer to the skin. ...

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