September 29, 2016

Question:
I am continually confused by the AV access codes, in particular, the percutaneous codes. I have one specific question. Does code 36147 include all imaging, venous and arterial?

Answer:
Yes, the entire range of venous access codes are very confusing and complex! Code 36147 is an all-inclusive code and includes all venous imaging from the venous side of the access to and including the right atrium. In terms of arterial, 36147 includes the area of the arterial anastomosis, what CPT describes as the peri-anastomotic site. If it is clinical necessary (and documented as such) to image areas distal from the arterial anastomosis; the entire extremity for example, an extremity arteriogram may be reported.

It’s important to note that these codes may be revised in 2017. Watch for a KZA webinar in November/December of 2016, “2017 Update in Vascular Coding”.

Please join us in Chicago on October 21-22, 2016 for the SVS sponsored Vascular Coding course with KZA consultant Teri Romano as a faculty member. Can’t make the October course or have too large a staff for all to attend? Contact KZA for an intensive and interactive vascular coding course at your location.

*This response is based on the best information available as of 09/29/16.