New Category III Tricuspid Valve Implantation Replacement Code (0646T) (July 2022)

July 2022 pages 8-11 New Category III Tricuspid Valve Implantation Replacement Code (0646T) For the Current Procedural Terminology (CPT®) 2022 code set, a new Category III code (0646T) was established as part of a new subsection titled “Tricuspid Valve Implantation/Replacement” to report transcatheter tricuspid valve implantation (TTVI) and replacement with a prosthetic valve. New guidelines were added, as well as several exclusionary and cross-reference parenthetical notes to provide instruction on the appropriate reporting of this procedure. This article provides an overview of the intent and use of this new code. Category III Codes Tricuspid Valve Implantation/Replacement Code 0646T...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This July 2022 CPT Assistant article covers the introduction of a new Category III code for transcatheter tricuspid valve implantation/replacement and the surrounding reporting guidance. It is relevant to cardiology, interventional cardiology, and coding professionals who work with catheter-based valve procedures, related diagnostic services, and imaging guidance. The article also outlines the broader tricuspid valve procedure family, including cross-references to other transcatheter tricuspid valve codes and related ancillary services discussed in the CPT 2022 code set.

Why This Topic Matters

It helps readers understand where this new tricuspid valve procedure fits within CPT and how the accompanying guidance organizes related services, exclusions, and cross-references in the 2022 code set.

Article Sections

  1. July 2022 pages 8-11

    Introductory article placement information and the overall topic area for the CPT 2022 update.

  2. Category III Codes

    Overview of the new tricuspid valve implantation/replacement code family and the scope of the code in the CPT 2022 set.

  3. Coding Tip

    General guidance highlighting the relationship between the new procedure and associated diagnostic cardiac catheterization services.

  4. Clinical Example (0646T)

    A representative clinical scenario showing the type of patient and procedure context addressed by the new code.

  5. Description of Procedure (0646T)

    A step-by-step procedural narrative describing the general workflow for the transcatheter tricuspid valve implantation/replacement service.

What You Will Learn

  • How the new CPT Category III tricuspid valve procedure is positioned within the 2022 code set
  • What broad categories of services are addressed alongside the new tricuspid valve code
  • How the article frames related imaging, catheterization, and other ancillary services
  • How the article organizes related tricuspid valve procedure references and cross-links

Who Should Read This

  • Medical coders
  • Coding educators
  • Cardiology billing staff
  • Interventional cardiology practices
  • Hospital outpatient coding teams

Codes Discussed

Modifiers Discussed


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