tci General Surgery Coding Alert - 2008 Issue 11

Reader Questions: Follow-Up Thrombectomy Calls for 79

Question: A week following creation of an AV fistula, the surgeon had to perform a thrombectomy to remove a clot. May I report the thrombectomy separately, or is it included in the global period of the AV fistula? Maryland Subscriber Answer: Your payer should allow separate payment for thrombectomy during the 90-day global period of an arteriovenous (AV) fistula creation. For thrombectomy only, you should claim 36831 (Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft [separate procedure]). If the surgeon revises/resects the fistula at the same time as the thrombectomy, you should instead report 36833 (Revision...

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