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  #1  
Old 03-16-2010, 12:14 PM
carol52 carol52 is offline
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Default Exploration of antecubital fossa

I need help with a cpt code for exploration of an antecubital fossa for a creation of a fistula in the upper extremity. thanks
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Old 03-17-2010, 01:19 PM
mjewett mjewett is offline
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Is the fistula, by chance an arteriovenous fistula?
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Old 03-18-2010, 10:19 AM
carol52 carol52 is offline
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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
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Old 03-18-2010, 11:28 AM
mjewett mjewett is offline
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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.
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Old 03-18-2010, 02:09 PM
carol52 carol52 is offline
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We found a code for exploring arteries and vessels 35761 any ideas about this code? Thanks Carol
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Old 12-30-2012, 01:37 PM
kimcpccircc kimcpccircc is offline
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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.
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