Stenosis of an AV Graft

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Question:

When treating stenosis of an AV graft with a stent, do I code an arterial or venous stent?

Answer:

Per CPT, the AV graft is considered to be venous and most interventions are coded with the venous intervention codes – in this case, 37238 for stent. The exception is if the stenosis is at the arterial anastomosis and involves the artery just proximal to the graft. An intervention that treats this “peri-anastomotic” segment is coded as an arterial intervention.


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