I had a patient with a clotted forearm AV shunt. I used a catheter to dislodge the clot and then injected a bolus of tPA. Can I report the thrombectomy (36870) and the tPA injection?
Answer:
36870, thrombectomy of an AV fistula, includes all mechanical and pharmacological methods employed to dissolve or dislodge the clot. The thrombolytic injection is an inclusive component of 36870 and cannot be reported separately
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