Dear Gail, 

 I am not making any promises but try using two ICD.9 codes for dialysis
access:

1. Renal dialysis                   V45.1 
2. Renal dz, HTN, FMH, Thromb.etc   403.91

note: I believe that to use a code beginning with "V" that another code
explaining the dz must be included?? I am sorry to be so vague but we are
all flailing about out here with this medicare and coding nightmare. Let
me know how it works out for you.

Bonnie (Wolff) Johnson, RVT, RDMS
Stanford Health Services
Div of Vascular Surgery, H-3600
Stanford, CA 94305

(415)723-8053