Puncture AV Fistula Outflow Vein w/ Cath of Native Brachial Artery

June 2, 2017

Question:

Puncture of AVF basilic outflow vein with selective catheterization of the native brachial artery. LUE arteriogram performed, and then angioplasty of the brachial artery and mechanical thrombolysis of the brachial, ulnar, and interosseous arteries. Infusion catheter placed in the ulnar artery for overnight thrombolysis. Is it appropriate to bill 36901-52 for the initial puncture in the graft, along with 36215 for the catheter placement in the brachial (and subsequently the ulnar and interosseous arteries)? We believe the correct codes for the procedure are 36901-52, 36215, 75710, 37246, 37184, 37185, 37211. Please confirm. 

Question ID: 9249
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