OLD CODES - REPLACED BY ...
|
Old |
Description |
Replaced by |
|
93536 |
percutaneous approach IABP |
33967 |
|
33247 |
insertion of a transvenous electrode; single chamber (one electrode) permanent pacemaker of single chamer pacing cardioverter-defibrillator |
33216 |
WHICH CODE SHOULD I USE TO REPORT :
1) ATRIAL APPENDAGE LIGATION (validated by DB Committee)
There is no CPT code that represents an atrial appendage ligation. if this procedure is performed in conjunction with another heart procedure, you would use modifier - 22 on the main procedure. You should submit the claim with the operative report and a cover letter explaining the medical necessity, patient's condition, and the extra work, time, risk (generally 20 % - 30 % more work than the main procedure is involded) involved in the procedure. In the atrial appendage ligation is the only procedure performed, you would report the procedure using the unlisted code, 33999 - Unlisted procedure, cardiac surgery. Again, you would need to submit the claim with the operative note and a cover letter explaining the service.
2) DIRECT CLOSURE of PARAVALVULAR LEAK (validated by DB Committee)
33496 (without removing of the valve) + 33530 (aswell as aortic valve as mitral valve)
3) ENDOSCOPIC VEIN PRELEVATION AND VENE 'NOT USED' (validated by DB Committee)
Not coding
4) EXTRA-CORPORIEL CIRCULATION FOR HYPOTHERMIA (validated by DB Committee)
ECC for hypothermia : 33960 + 36822
ECC for chemotherapy : 36823
ECMO : 36822 + 33960 and/or 33961 "each day"
5) MAZE PROCEDURE (validated by STS/AATS)
You would report a Maze procedure using radiofrequency ablation, cryosurgery, microwave therapy, or other techniques using the existing Maze procedure code, 33253 - Operative incisions and reconstruction of atria for treatment of atrial fibrillation or atrial flutter (eg, maze procedure). The STS is in the process of gathering data for the American Medical Association CPT Edfitorial Panel to obtian a descriptor change for the code to encompass the various technologies used to accomplish the Maze procedure; in the interim, you should continue to report the Maze procedure, regardless of the technology used, with the existing Maze procedure code, 33253.
6) OFFPUMP -> PUMP in "SAME OPERATION" (validated by DB Committee)
Use code 9952 (offpump) + 9953 (discontinued procedure)
7) CODING FOR OTHER VASCULAR (validated by DB Committee)
0033T (endovascular repair of deszcending thoracic aortic aneurysm, pseudoaneurysm or dissection; involvingcoverage of left subclavian artery origin, initial endoprosthesis)
0035T (Placement of proximal or distal extension prosthesis for endovascular repair of descending thoracic aortic aneurysm, pseudoaneurysm or dissection; initial extension)
8) START MIPLASTY - FAILS - MITRAL REPLACEMENT (validated by DB Committee)
33425 or 33426 or 33427 + 33430 ?
DELETE 33425 or 33426 or 33427. Use only 33430 !
9) REMOVAL STERNAL WIRE (validated by DB Committee)
Use code : 20680
10) 4TH REDO FOR MITRAL PARAVALVULAR LEAK VIA RIGHT THORACOTOMY AND FEMORO-FEMORAL BYPASS. FEMORO-FEMORAL ECC WAS VERY DIFFICULT WITH LOW FLOW. THE OPERATION WAS STOPPED: FEMORO-FEMORAL VESSELS WERE SUTURED AND THE RIGHT CHEST WAS CLOSED (validated by DB Committee)
Use codes : 33530 + 33999 + 53 (see CPT-codebook 'Appendix A')
11) ENDOSCOPIC OPERATION (ROBOT) (validated by DB Committee)
No extra cpt-code
12) REVISION FOR BLEEDING (validated by DB Committee)
Every procedure is a new record !
Not accepted :
- 35820 + general procedure
- 35820 + 9952
- 35820 + 9976
- 35820 + 9977
- 35820 + 21750
- 35820 + 35820 (code each bleeding as an additional record)
Accepted combinations :
- 35820 + 33967
- 35820 + 33970
- 35820 + 33971
- 35820 + 49904