Hello: I am questioning if 36830 & 35761 should be billed together..No CCI edits but would like others opinion The pt left arm was prepped. The radial artery was dissected up a way and there were multiple calcified plaques. After inspecting it for quite some time, it was clear that the aratery was not usable. Therefore, an incision was now made in the arm in the antecubital area. Tourniquet was applied etc and then incision wad made to cover he vein and the brachial arery pulse.......etc
He ended up doing a AV Loop graft for dialysis access.
I am torn if 35761 should be billed but he did spend significate time inspecting the artery and surrounding area before the decision was made to do the Loop graft!
Thanks!