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Thread: av shunt with ligation of branch of cephalic vein

  1. #1

    Question av shunt with ligation of branch of cephalic vein

    AAPC: Back to School
    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.

  2. #2


    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

  3. #3
    Join Date
    Apr 2007
    Quincy, MA


    Have you looked at:

    37607 Ligation or banding of angioaccess arteriovenous fistula
    Leanne, CPC
    General/Vascular Surgery

  4. #4


    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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