Cpt code for vein patch angioplasty of brachial artery

#Cpt code for vein patch angioplasty of brachial artery code

I would be grateful if someone could help clear this confusion. So if I use 35460, (Transluminal ballon angioplasty, OPEN, Venous) then the physician has to make an incision in the skin, which he did not.

#Cpt code for vein patch angioplasty of brachial artery code

Addition to code for primary procedure).ДЇor me this looks like a 35476( Transluminal ballon angioplasty, percutaneous, venous) but when I researched its description in the Supercoder, it says puncture is made in the femoral artery( which I guess, is in the lower extremity)BUT the physician is working in the upper extremity. Anastomosis and adjacent artery through entire venous outflow including the. Dopppler confirmed excellent flow through the fistula and there was excellent right radial artery pulse distally. The sheath was removed and its site secured with 000 nylon suture and dermabond. A completion angiogram demonstrated excellent results with no residusl stenosis from the fistula with excellent flow from the cephalic to the antecubital to the basilic vein. The introducer sheath was placed and then with the patient heparinized, the guidewire was passed through the area of stenosis of the antecubital vein, antecubital fossa and this was gently dilated up to a #6mm balloon. In the antecubital fossa area, there was a very tight stenosis. Utilizing micropuncture,an angiogram was performed showing runoff at the fistula to the cephalic vein and antecubital vein and then more proximally to the basilic vein. Operative Report The arteriovenous fistula was cannulated utilizing micropuncture technique in the mid proximal forearm just proximal to the anastomosis.

Operation performed 1.Angiogram of arteriovenous fistula, right upper extremity 2.Angioplasty of arterial to venous fistula, right upper extremity, cephalic vein to antecubital vein utilizing 6mm angioplasty balloon 3.Completion angiogram, arteriovenous fistula, right upper extremity.