2025 CPT code 37607
Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Ligation or banding of angioaccess arteriovenous fistula.
Modifiers may be applicable to this code, such as modifier 22 for increased procedural services or modifier 59 for distinct procedural services. Consult modifier guidelines for proper usage.
Medical necessity for ligation or banding of an angioaccess arteriovenous fistula is established by documenting the clinical indication for the procedure, such as high flow steal syndrome, infection, thrombosis, or other complications related to the fistula.
The physician is responsible for preparing and anesthetizing the patient, making the incision, exposing the fistula, separating it from surrounding structures, ligating or banding the fistula, securing it, and closing the surgical wound.
In simple words: This procedure closes off or reduces blood flow through a surgically created connection between an artery and a vein (fistula) usually in the arm, often used for dialysis. The doctor makes a cut to find the fistula, then ties it off or places a band around it to control the blood flow.
This procedure involves making an incision to locate an artificially created arteriovenous fistula and then closing it off or restricting blood flow through it using sutures, clamps, or a band. The fistula is first exposed and separated from surrounding tissues. Then, sutures, a clamp, or a band are placed around the fistula to reduce or stop blood flow. Finally, the fistula is secured, and the incision is closed in layers.
Example 1: A patient with a hyperfunctioning arteriovenous fistula causing hand ischemia requires surgical ligation of the fistula to alleviate symptoms., A patient with an infected arteriovenous fistula needs ligation of the fistula to control the infection., A patient with a thrombosed arteriovenous fistula requires surgical ligation to remove the clot and prevent further complications.
Documentation should include the medical necessity for the procedure, type of ligation or banding performed, location of the fistula, operative details, and any complications encountered.
** Alternative procedures for managing complications of arteriovenous fistulas include angioplasty, stenting, and revision using distal inflow. The choice of procedure depends on the specific clinical situation and patient factors. As of today, December 10, 2024, this information is current, but it is essential to refer to the latest coding guidelines for the most up-to-date information.
- Revenue Code: P2F
- Specialties:Vascular Surgery, Interventional Radiology, Nephrology
- Place of Service:Ambulatory Surgical Center, Hospital - Inpatient, Hospital - Outpatient