AMA CPT® Assistant - 2003 Issue 5 (May)

Surgery/Cardiovascular System (May 2003)

May 2003 page 19d Coding Consultation:Questions and Answers Surgery/Cardiovascular System, 33425 (Q&A) Question If a mitral valve repair procedure is performed through a right thoracotomy approach instead of the typical sternotomy approach, would it be appropriate to report code 33425, Valvuloplasty, mitral valve, with cardiopulmonary bypass? If so, would Modifier '-52,' Reduced Services, be appended since a sternotomy is not performed? AMA Comment From a CPT coding perspective, this service should be reported using the mitral valve repair code (33425) without a modifier. While the sternotomy approach may be included in examples of the intraservice work of...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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