What CPT® code should be reported for PTA of an obstructed hemodialysis AV graft performed under moderate sedation?

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The appropriate CPT® code for reporting a percutaneous transluminal angioplasty (PTA) of an obstructed hemodialysis arteriovenous (AV) graft performed under moderate sedation is 36902. This code specifically describes the procedure of PTA for an obstructed hemodialysis graft, capturing the technical and procedural aspects involved.

When coding for such procedures, it's important to select the specific code that reflects the exact surgical intervention. Code 36902 is designed for use when only a PTA is performed on an obstructed graft without any additional interventions, which aligns with the specifics of the situation described in the question.

Options that combine multiple codes or include additional services may not accurately reflect the single procedure performed, as they suggest more complex interventions were conducted or that different segments of the graft were addressed. Therefore, using only the code that accurately represents the PTA itself is essential for proper billing and reimbursement practices in a clinical setting.

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