G0392 Transluminal balloon angioplasty, percutaneous; for maintenance of hemodialysis access, arteriovenous fistula or graft; arterial
G0393 Transluminal balloon angioplasty, percutaneous; for maintenance of hemodialysis access, arteriovenous fistula or graft; venous
If angioplasty done in graft use these codes.
Be sure to code the catheterization of the limbs in addition to therapeutic procedures. If both the arterial and venous sides are both punctured, 36145 would be reported twice. You may need modifier –59 with this. It is also called “fistulogram.”
Report S&I code 75790 for imaging
Code S&I 75790 includes imaging of outflow to the level of the right atrium. Do not report the 75825 vena cavagram S&I and 75820 extremity code with this. It is included.
Angioplasty of AV fistula use 35476 + 75978 or G0393 + 75978 for Venous PTA of AV graft Medicare or G0392 + 75962 for Arterial only PTA for of AV graft Medicare .
Zones for AV Graft/Upper
Upper Extremity
Zone 1: Arterial anastomosis, intra-graft, venous anastomosis and outflow veins to axillary vein
Zone 2: Subclavian and brachiocephalic veins (central extremity veins)
Zone 3: Superior Vena Cava
Only one venoplasty per zone
can be reported in this
Interpretation.
Zones for Lower Extremity
Lower Extremity
Zone 1: Arterial anastomosis, intra-graft to venous anastomosis (common femoral vein)
Zone 2: External iliac and common iliac veins (central extremity veins)
Zone 3: Inferior Vena Cava
Only one venoplasty per zone can be reported