G2170 HCPCS - PERCUTANEOUS ARTERIOVENOUS FISTULA CREATION (AVF), DIRECT, ANY SITE, BY TISSUE APPROXIMATION USING THERMAL RESISTANCE ENERGY, AND SECONDARY PROCEDURES TO REDIRECT BLOOD FLOW (E.G., TRANSLUMINAL BALLOON ANGIOPLASTY, COIL EMBOLIZATION) WHEN PERFORMED, AND INCLUDES ALL IMAGING AND RADIOLOGIC GUIDANCE, SUPERVISION AND INTERPRETATION, WHEN PERFORMED

Code Information

HCPCS Code: G2170
Sequence Number: 0010
Short Description: Avf by tissue w thermal e
Long Description: Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and includes all imaging and radiologic guidance, supervision and interpretation, when performed
Date Added: 7/1/2020
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2023
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Pricing Indicator Code:
- 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G2170
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and includes all imaging and radiologic guidance, supervision and interpretation, when performed
HCPCS Short Description	Avf by tissue w thermal e
HCPCS Pricing Indicator Code 1	13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Cross Reference Code 1	36836
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	P1G - Major procedure - Other
HCPCS Type Of Service Code 1	2 - Surgery
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	7/1/2020
HCPCS Action Effective Date	1/1/2023
HCPCS Termination Date	12/31/2022
HCPCS Action Code	N - No maintenance for this code