2025 CPT code 36815
Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Revision or closure of arteriovenous cannula for hemodialysis.
Modifiers may be applicable. Modifier 59 is commonly used to indicate a distinct procedural service.
Medical necessity for this procedure is established when the existing hemodialysis cannula is no longer functioning correctly, is infected, or is no longer needed.
The physician preps and anesthetizes the patient, then either repositions the existing cannula within a blood vessel, or removes it and closes the blood vessel and wound by suturing.
In simple words: This procedure involves either changing the position of a small tube used for dialysis, or removing it and closing the area where it was inserted.
This code describes the surgical revision or closure of an existing arteriovenous cannula used for hemodialysis. This includes repositioning a cannula or removing it and closing the insertion site. The procedure may involve suturing the blood vessel and wound in layers.
Example 1: A patient's hemodialysis cannula has become dislodged and requires repositioning to maintain vascular access for dialysis., A patient's hemodialysis cannula site has become infected, necessitating removal of the cannula and closure of the arteriovenous access site., A patient no longer requires hemodialysis and the arteriovenous cannula is surgically removed, and the site is closed.
Documentation should include the reason for the revision or closure, the operative report detailing the procedure performed (repositioning or removal and closure), and any complications encountered.
- Specialties:Nephrology, Vascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center