Billable fistulagram?

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In this case, the correct CPT code to bill for the procedure is 35476. I did see that this was an AV fistula, correct? Also, here is a Tip:

When a venous AV fistula or graft angioplasty was performed, the procedure is reported using the following codes:

35476 (Transluminal balloon angioplasty, percutaneous; venous) for the procedure. 75978, [Transluminal balloon angioplasty, venous (e.g., subclavian stenosis), radiological supervision and interpretation.] for the imaging.

Remember to report only one intervention per segment. According to CPT? guidelines, that means reporting 35476 and 75978 only once per segment, even if the physician uses multiple balloon catheters to open multiple lesions or inflates a balloon multiple times.

The fistulogram is bundled into the procedure as the balloon angioplasty is the hierarchy of the procedures performed. Now, if you work for an ASC or Outpatient Hospital, you would code the fistulogram in the ICD-9-PX codes for facility reimbursement.

Also, if the physician performed more than one puncture of the artery, make sure to code the 36012 (selective catheter placement, venous system, second order, or more selective branch).

Hope this helps!!

Billable fistulagram?