CPT® Code 36145

Deleted

The procedure described by CPT® Code 36145 involves the introduction of a needle or intracatheter into an arteriovenous shunt that has been created for the purpose of dialysis. An arteriovenous shunt is a surgical connection made between an artery and a vein, which can take the form of a cannula, fistula, or graft. This connection is essential for patients undergoing dialysis, as it allows for efficient access to the bloodstream for the removal of waste products and excess fluid. Prior to the procedure, the skin over the shunt is disinfected to minimize the risk of infection, and a local anesthetic is administered to ensure patient comfort during the insertion process. The healthcare provider then carefully inserts a needle or intracatheter into the shunt, which may be used for the injection of medication or radiopaque contrast material, depending on the clinical requirements. After the injection is completed, the needle or intracatheter is withdrawn, and pressure is applied to the puncture site to prevent bleeding. This procedure is critical in facilitating dialysis treatment and ensuring that the shunt remains functional for ongoing patient care.