tci General Surgery Coding Alert - 2005 Issue 10

Reader Questions: Type of Graft Determines AV Fistula Code

Question: Which code should I use for creating an AV fistula for vascular access?Hawaii SubscriberAnswer: The appropriate code depends on the type of graft the surgeon uses to create the arteriovenous (AV) fistula. An autogenous graft, as described by 36825 (Creation of arteriovenous fistula by other than direct arteriovenous anastomosis [separate procedure]; autogenous graft), uses material taken from the patient's own body, while a nonautogenous graft (36830, ... nonautogenous graft) is made of a biocompatible material, such as Gortex.Following an AV fistula creation, complications may arise. For instance, the fistula may thrombose (clot), or the patient could develop...

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