Wiki Revision AVF aneurysms and artegraft placement

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Robbin109

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Pt has a bleeding AVF aneurysms. They go in for a revision of AVF( resection aneurysms, and Artegraft placement)

Is this all covered under the revision code or can the AVG placement be additionally coded?

"The AVF was dissected an sharp scissors were used to resect the aneurysmal portion and passed off. Thrombus was found in he AVF and removed with forceps.
6mm /artegraft prepared and anastomosed end-to-end to restore flow to AVF. Scissors were then used to sharply excise an elliptical portion of skin overlying the prior AVF aneurysms"
 
Hi - sorry for the delayed response. If you are still looking for an answer, though, yes, the Artegraft is included in the revision code when it is used in the way described (as an interposition graft to restore flow to that original AVF). Any efforts needed to restore flow to the original AVF through an open approach would fall under the revision codes. Since they also remove thrombus in this AVF, I would consider 36833 for the combined work of the thrombectomy, aneurysm excision, and Artegraft placement through an open approach.

I hope that helps :)

Kim
www.codingmastery.com
 
What if the Aneurysm is dissected out of AVF and AVG is placed using the same artery but but a new/different vein ?
 
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