Dialysis Access Ultrasound CPT Codes

Dialysis Access Payment Information

The following chart provides payment information that is based on the national unadjusted Medicare physician fee schedule for the ultrasound services discussed. Payment will vary by geographic region.

The information provided below is intended to assist providers in determining appropriate codes and the other information for reimbursement purposes. It represents the information available to United Medical Instruments as of January 2013. Subsequent guidance might alter the information provided. United Medical Instruments disclaims any responsibility to update the information provided. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for the services rendered. Before filing any claims, providers should verify current requirements and policies with the applicable payer.

Dialysis Access Ultrasound and Procedural CPT Codes and Descriptions

Ultrasound Evaluation
CPT Code
 Code Description

Non
Facility* 

 Facility**   Professional
Payment		 Technical
Payment 
36819 Arteriovenous anastomosis, open; by upper arm basilic vein transposition  $764.16 $764.16   n/a n/a 
36820 Arteriovenous anastomosis, open; by forearm vein transposition $836.29  $836.29   n/a n/a 
36821 Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) $719.59   $719.59  n/a n/a 
36825

Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft

 $825.06

 $825.06  n/a n/a 
93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study  $189.17 $189.17   $34.36 $154.80 
93971 Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study $117.04   $117.04  $21.77  $95.26
93990 Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow) $111.60  $111.60  $12.25  $99.35 
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) $167.05  $167.05 $12.25  $154.8 

 

Procedures
CPT Code
 Code Description Non
Facility*		 Facility** Professional
Payment

Technical
Payment
36831 Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)  $472.25 $472.25  n/a  n/a 
36832 Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) $599.83  $599.83  n/a  n/a 
36833 Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure) $768.08  $768.08  n/a   n/a
76937 Utrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure) $36.40 $36.40 $14.63 $21.77


* Non Facility: Includes all other settings.
** Facility: Includes hospitals (inpatient, outpatient, and emergency department), ambulatory surgical centers (ASCs), and skilled nursing facilities (SNFs).

CPT™ five digit codes, nomenclature and other data are Copyright 2010 American Medical Association. All rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.

Deficit Reduction Act of 2005 Adjustment has not been figured into the above global fees.