G2171 HCPCS - PERCUTANEOUS ARTERIOVENOUS FISTULA CREATION (AVF), DIRECT, ANY SITE, USING MAGNETIC-GUIDED ARTERIAL AND VENOUS CATHETERS AND RADIOFREQUENCY ENERGY, INCLUDING FLOW-DIRECTING PROCEDURES (E.G., VASCULAR COIL EMBOLIZATION WITH RADIOLOGIC SUPERVISION AND INTERPRETATION, WEN PERFORMED) AND FISTULOGRAM(S), ANGIOGRAPHY, ENOGRAPHY, AND/OR ULTRASOUND, WITH RADIOLOGIC SUPERVISION AND INTERPRETATION, WHEN PERFORMED

Code Information

HCPCS Code: G2171
Sequence Number: 0010
Short Description: Avf use magnetic/art/ven
Long Description: Percutaneous arteriovenous fistula creation (avf), direct, any site, using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, wen performed) and fistulogram(s), angiography, enography, and/or ultrasound, with radiologic 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	G2171
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, using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, wen performed) and fistulogram(s), angiography, enography, and/or ultrasound, with radiologic supervision and interpretation, when performed
HCPCS Short Description	Avf use magnetic/art/ven
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	36837
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