CPT® Code 36810

The procedure described by CPT® Code 36810 involves the insertion of a cannula specifically for hemodialysis or other purposes, utilizing an external arteriovenous connection known as the Scribner type. A cannula is a flexible tube that is inserted into a blood vessel to facilitate the flow of blood during hemodialysis, a process that removes waste products and excess fluid from the blood when the kidneys are not functioning properly. In this procedure, suitable veins and arteries are selected, typically from the nondominant forearm or the ankle, to create a connection that allows for efficient blood access during dialysis treatments. The Scribner-type cannula is characterized as a semi-permanent shunt, which is less commonly used in contemporary practice but serves as a critical option for patients requiring hemodialysis. The procedure involves careful exposure and incision of the selected blood vessels, followed by the secure placement of cannulas into both an artery and a vein. These cannulas are then connected externally using synthetic materials, ensuring that they can be easily accessed for dialysis sessions. This code is specifically designated for the initial placement of the shunt, which is essential for establishing a reliable access point for ongoing dialysis treatment.