AV Graft Coding

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Question:

In order to treat occlusion of an AV graft, I had to angioplasty both the venous portion and the arterial anastomosis. Can I report both 35475 for the arterial angioplasty and 35476 for the venous angioplasty?

Answer:

CPT rules specify that only one angioplasty may be reported for the AV circuit portion of the graft, which includes the entire graft up to and including the auxiliary vein and the peri-anastomotic portion. So in your scenario, only one angioplasty would be reported.this issue.