How To Use CPT Code 36907

CPT 36907 describes the procedure of transluminal balloon angioplasty performed through the central dialysis segment of a patient’s dialysis circuit. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 36907?

CPT 36907 can be used to describe the procedure of transluminal balloon angioplasty performed through the central dialysis segment of a patient’s dialysis circuit. This code is used when a provider dilates and opens up an obstructed central segment using a balloon expanded within the vessel lumen. The code includes all imaging and radiological supervision and interpretation required to perform the angioplasty.

2. Official Description

The official description of CPT code 36907 is: ‘Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplasty (List separately in addition to code for primary procedure).’ Notes: (Use 36907 in conjunction with 36818 – 36833, 36901, 36902, 36903, 36904, 36905, 36906) (Do not report 36907 in conjunction with 36836, 36837, 36908) (Report 36907 once for all angioplasty performed within the central dialysis segment).

3. Procedure

1. During a primary procedure on a patient’s dialysis circuit, the provider identifies an obstructed central segment.
2. The provider inserts a balloon through a previously inserted catheter into the narrowed area.
3. The provider inflates the balloon, which stretches the internal lining of the vessel and breaks up plaque deposits.
4. The provider deflates the balloon and withdraws the catheter after confirming that the vessel is now open.
5. The provider continues with the primary procedure and withdraws the catheter at the end, applying pressure to control bleeding.

4. Qualifying circumstances

Patients eligible for CPT 36907 are those undergoing a primary procedure on their dialysis circuit who have an obstructed central segment that requires transluminal balloon angioplasty. The procedure must be performed through the dialysis circuit, and all imaging and radiological supervision and interpretation required for the angioplasty are included in this code.

5. When to use CPT code 36907

CPT code 36907 should be used when a provider performs transluminal balloon angioplasty through the central dialysis segment of a patient’s dialysis circuit. It should be reported in addition to the primary procedure code. This code should not be reported in conjunction with certain other codes, as specified in the notes.

6. Documentation requirements

To support a claim for CPT 36907, the provider must document the following information:

• Identification of the obstructed central segment
• Description of the procedure performed, including the use of a balloon and catheter
• Confirmation of vessel opening after angioplasty
• Completion of the primary procedure
• Application of pressure to control bleeding

7. Billing guidelines

When billing for CPT 36907, ensure that the procedure is performed through the central dialysis segment of the patient’s dialysis circuit. Use the appropriate primary procedure code in conjunction with CPT 36907. Be aware of the codes that should not be reported together with 36907. Follow any additional guidelines provided by the payer or coding guidelines.

8. Historical information

CPT 36907 was added to the Current Procedural Terminology system on January 1, 2017. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoing a primary procedure on their dialysis circuit is found to have an obstructed central segment. The provider performs transluminal balloon angioplasty through the central dialysis segment to open up the vessel.
2. During a dialysis circuit procedure, the provider identifies a narrowing in the central segment. They perform transluminal balloon angioplasty to dilate the vessel and improve blood flow.
3. A patient with a dialysis circuit requires a primary procedure, and the provider discovers an obstruction in the central segment. They perform transluminal balloon angioplasty to restore proper circulation.
4. While performing a procedure on a patient’s dialysis circuit, the provider identifies a blockage in the central segment. They use transluminal balloon angioplasty to clear the obstruction and ensure adequate blood flow.