Coding Embolization of a Dialysis Graft/Fistula – Part 1

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July 12, 2018

Question:
The documentation indicates embolization of side branches/collateral vessels to help the dialysis graft mature. I’ve always coded it with the embolization code, 37241.  Is this correct?

Answer:
In 2017, new codes for embolization of the side branches emptying into the dialysis circuit were established. Code 37241 is no longer appropriate for this procedure Embolization of collateral vessels in the dialysis circuit is now coded with the add-on code +36909, Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins)), endovascular, including all imaging and radiological supervision and interpretation necessary to complete the intervention.  

*This response is based on the best information available as of 07/12/18.

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