Wiki MILLER banding procedure for AV fistula - CPT?

[aspatton]

Has anyone encountered this procedure as a means to "revise" an AVF. There's not a lot of information out there and I'm not finding any references to how it should be coded (I'm thinking Unlisted).

From what I can tell, it's a way to revise the fistula that is less invasive with a combination of a small incision and a catheter/balloon. So, it's not as involved as 36832 or 37607 (fewer, smaller incisions).

If you're coding this, are you using Unlisted code 37799?

Thanks

 

[cgaston]

Have you looked at 36901-36909?

 

[aspatton]

Not applicable here. There's an incision involved but also a catheter with balloon being used as pretty much a measuring device to determine how much to ligate the fistula. PTA of a fistula in the code set of 36901-36909 requires a documented hemodynamically significant stenosis - which isn't the case here.

 

[ellis3350]

I would go with 37607 for the Miller procedure. The description of 37607 is ligation or banding of angioaccess avf.