AV Access Revision: Does Ligation of Side Branches Count as a Revision?

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Question:

The physician documented that he ligated the side branches of an AV access that he created. It didn’t seem like it was enough work to code a revision. Is there a different code I can use?

Answer:

Ligation of side branches of an AV access is a revision and is reported with the revision code, 36832. Revisions constitute a wide range of procedures that may be performed to repair an issue with an access (stenosis or a clot) or to facilitate maturation of the access (ligate side branches, remove excess subcutaneous fat). Some may include a more extensive revision of the access vessels. While some are more easily performed than others, all are reported with one of the revision codes (36831-36833) for open revision procedures.


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