Wiki Exploration of antecubital fossa

[carol52]

I need help with a cpt code for exploration of an antecubital fossa for a creation of a fistula in the upper extremity. thanks

 

[mjewett]

Is the fistula, by chance an arteriovenous fistula?

 

[carol52]

the Dr was going to try and create a fistula in the upper rt extremity.
the cephalic vein was explored then the basilic vein. neither of these were large enough for creation. Thanks Carol

 

[mjewett]

I don't usually code these, but I would code the procedure that the doctor intended on doing with a modifier 52. Type a note on the claim explaining the service was reduced fistula not created do to size of veins. (36825-52) Although I don't usually bill this procedure. We often have this situation occur during groin exploration for possible hernia. We bill the hernia repair code with modifier 52.

Hope this helps.

 

[carol52]

We found a code for exploring arteries and vessels 35761 any ideas about this code? Thanks Carol

 

[kimcpccircc]

The 35761 is for arteries only and states specifically that you shouldn't use for veins. You need to use the 36818 or 36819 with the 52, unfortunately.