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36836 – Single-Access System (e.g., Ellipsys™) Access via a single percutaneous puncture into an arm vein A catheter is passed through the vein wall into the proximal radial artery (AV fistula) Guided by Duplex US – no fluoroscopy Produces a connection between the artery and vein via thermal energy 36837 – Two-Access System (e.g., WavelinQ-4F™) An arterial catheter is introduced through the brachial artery A venous catheter (with a radiofrequency [RF] electrode) is introduced through an upper extremity vein Guided by fluoroscopy Magnets are used to hold the artery and vein together The RF electrode is then used to create a connection between the artery and the vein (AV fistula) Somatic Nerve Injection The somatic nerve injection codes (64415-64417 and 64445-64448) have been revised to include imaging guidance when performed

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