2025 CPT code 36810

Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)

Modifier 59 may be necessary if this procedure is performed with an unrelated procedure in a different anatomical region. Refer to current CPT coding guidelines for proper use of modifiers.

Modifiers 22, 51, 52, 53, 58, 59, 73, 74, 76, 77, 78, 79, and 99 are applicable.

Medical necessity is established by the patient's need for hemodialysis due to inadequate renal function. Documentation should support the diagnosis requiring dialysis and the rationale for external cannula placement.

The physician selects the access site, preps the area, inserts the cannula into the artery and vein, and ensures proper placement for hemodialysis.

IMPORTANT Use 36800 for vein-to-vein cannulation and 36815 for revision or closure of an existing arteriovenous external cannula.

In simple words: Insertion of a tube to connect an artery and vein in the arm or forearm for hemodialysis.This allows blood to flow out of the artery, get cleaned by a dialysis machine, and return to the body through the vein.

This code describes a procedure where a cannula is inserted into an artery and a vein, creating an external arteriovenous shunt (Scribner type) for hemodialysis.This is a separate procedure and is not reported in conjunction with other procedures performed in the same anatomical region and through the same incision.

Example 1: A patient with end-stage renal disease requires temporary hemodialysis access. An external Scribner shunt is created using 36810., A patient's existing arteriovenous fistula is unsuitable for cannulation, and an external Scribner shunt is placed for hemodialysis using 36810., A patient in acute renal failure needs immediate hemodialysis, and an external Scribner shunt is placed using 36810 as a bridge to a more permanent access.

Documentation should include the reason for the procedure, site of cannulation, type of cannula used, and any complications encountered.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.