Reporting Atrial Septostomy for Congenital Cardiac Anomalies (November 2020)

Why This Topic Matters

The update affects how certain congenital cardiac catheterization services are described and referenced in CPT, which matters for accurate code selection, compliant reporting, and understanding related instructional notes.

Article Sections

1. November 2020 pages 7-9

   Publication and issue information for the article.

2. Reporting Atrial Septostomy for Congenital Cardiac Anomalies

   Overview of the CPT 2021 changes discussed in the article and the general context for the updated cardiovascular coding references.

3. Shunting Procedures

   Summary of the new cardiovascular surgery codes and the related instructional notes and cross-references addressed in the article.

4. Coding Tip

   General guidance on reporting atrial septostomy in a non-congenital setting.

5. Clinical Example (33741)

   A representative clinical scenario and corresponding procedural discussion for one of the new CPT codes.

6. Description of Procedure (33741)

   Procedural narrative associated with the first clinical example, covering the broad catheter-based steps involved.

7. Clinical Example (33745)

   A representative clinical scenario and corresponding procedural discussion for one of the intracardiac shunt creation codes.

8. Description of Procedure (33745)

   Procedural narrative associated with the second clinical example, focusing on the broad stent-placement workflow.

9. Clinical Example (33746)

   A representative clinical scenario and corresponding procedural discussion for the add-on intracardiac shunt location code.

10. Description of Procedure (33746)

    Procedural narrative associated with the add-on example, describing the broad steps for an additional treated location.