Wiki av shunt with ligation of branch of cephalic vein

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cas20

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What code would you use for the following:

Incisions were made over both areas and and both vein branches were ligated with 3-0 Vicryl suture. Incisions were closed with 3-0 nylon sutures and Dermabond skin adhesive.

The two codes that I have come up with are 37799, unlisted vascular surgery or 35206, repair blood vessel, direct, upper extremity.

I don't like using an unlisted code, but the other code seems to be more than was actually done.

Any help will be appreciated.
 
Without more information I can't be sure but look at the code range 37609-
37660. You may find what you are looking for there! I hope this helps:cool:
 
I have had this come up a few times and my doctor has instructed me to use the revison code 36832 if he does not completely ligate or band the fistula, where as it is still a working fistula but had to ligate some of the branches to prevent steal syndrome.
 
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