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Exploration of antecubital fossa

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carol52

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266
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Fayetteville, Arkansas
I need help with a cpt code for exploration of an antecubital fossa for a creation of a fistula in the upper extremity. thanks
 
the Dr was going to try and create a fistula in the upper rt extremity.
the cephalic vein was explored then the basilic vein. neither of these were large enough for creation. Thanks Carol
 
I don't usually code these, but I would code the procedure that the doctor intended on doing with a modifier 52. Type a note on the claim explaining the service was reduced fistula not created do to size of veins. (36825-52) Although I don't usually bill this procedure. We often have this situation occur during groin exploration for possible hernia. We bill the hernia repair code with modifier 52.

Hope this helps.
 
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