March 2018 Q & A

Question: 36904

How would you bill for crisscross infusion catheters placed in a AV dialysis fistula? Fistulogram showed thrombus within AV fistula with total occlusion. Successful crisscross placement pf 5 F sheath and 10 cm infusion catheter within the venous limb directed peripherally and 6 French with 10 cm infusion catheter within the arterial limb directed centrally.

Answer:

CPT code 36904 describes removal of thrombus by any method (thrombolysis here). Both catheter placements, the imaging, and removal of thrombus by any method is included with CPT code 36904.