AMA CPT® Assistant - 2019 Issue 4 (April)
Aortoventriculoplasty with Pulmonary Autograft (April 2019)
April 2019 page 6 Aortoventriculoplasty with Pulmonary Autograft A new code (33440) to report aortic valve with transventricular enlargement of the aortic annulus (Konno procedure) replacement in conjunction with an autologous pulmonary valve with allograft replacement of a pulmonary valve (Ross procedure) translocation was added to the Current Procedural Terminology (CPT®) 2019 code set. Therefore, code 33440 was established to bundle the services represented in codes 33412 and 33413. This article provides an overview of the intent and appropriate use of this new code. Cardiac Valves #33440Replacement, aortic valve; by translocation of autologous pulmonary valve and transventricular aortic...
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Article Overview
This CPT® Assistant article reviews an April 2019 code update involving cardiac valve surgery and the addition of a new CPT code for a combined procedure. It is intended for coding professionals who need to understand the scope of the change, related parenthetical notes, and the general context for reporting in cardiac valve surgery cases. The article also includes a coding tip and a clinical example with a procedural description to illustrate the type of scenario the code addresses.
Why This Topic Matters
Cardiac surgery coding changes can affect how complex valve procedures are reported and whether overlapping services are bundled or separately billable. This article helps coders, auditors, and clinical documentation staff recognize the relevant CPT update and associated reporting context.
Article Sections
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April 2019 page 6
Introductory publication context for the article and its CPT update focus.
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Cardiac Valves
Overview of the cardiac valve procedure category and the related CPT coding update.
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Coding Tip
General guidance related to services included in the procedure reporting framework.
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Clinical Example (33440)
A representative patient scenario showing the type of clinical setting discussed in the article.
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Description of Procedure (33440)
A step-by-step procedural narrative associated with the clinical example and updated code.
What You Will Learn
- The scope of the CPT 2019 update discussed in the article
- How the article frames the relationship between the new code and related cardiac surgery reporting
- What general documentation and procedural context the article provides for the update
- How the clinical example and procedural description support understanding of the reported service
Who Should Read This
- Medical coders
- Coding auditors
- Cardiovascular surgery billing staff
- Clinical documentation specialists
- Health information management professionals
Codes Discussed
Code Ranges Discussed
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