Reporting Percutaneous Ventricular Assist Device Insertion (December 2020)

Why This Topic Matters

These updates affect how percutaneous ventricular assist device services are classified within CPT and how related notes and guidance are interpreted in cardiovascular coding workflows. Understanding the scope of the revisions helps users recognize when the article is relevant to procedure coding review and documentation support.

Article Sections

1. December 2020 pages 4-7

   Publication context and the scope of the CPT 2021 cardiovascular system updates are introduced here. The section frames the topic and the related code family changes covered by the article.

2. Cardiac Assist

   This section outlines the revised and newly created percutaneous ventricular assist device code family within the cardiovascular system. It also references related parenthetical note updates and the general types of procedural situations illustrated later in the article.

3. Clinical Example (33995) / Description of Procedure (33995)

   A clinical scenario and procedural narrative are provided for one of the new percutaneous device insertion codes. The example is used to illustrate the type of encounter and documentation context associated with the code.

4. Clinical Example (33997) / Description of Procedure (33997)

   A clinical scenario and procedural narrative are provided for one of the new percutaneous device removal codes. The example focuses on the general sequence of care surrounding device removal and post-procedure monitoring.

5. Clinical Example (33990) / Description of Procedure (33990)

   A clinical scenario and procedural narrative are provided for a revised left heart percutaneous ventricular assist device insertion code. The section presents the broader procedural setting and related documentation context.

6. Clinical Example (33991) / Description of Procedure (33991)

   A clinical scenario and procedural narrative are provided for a revised combined access percutaneous ventricular assist device insertion code. The section addresses the procedural setting and imaging-related workflow at a high level.

7. Clinical Example (33992) / Description of Procedure (33992)

   A clinical scenario and procedural narrative are provided for a revised percutaneous device removal code. The section covers the general removal setting and associated post-procedure care context.

8. Clinical Example (33993) / Description of Procedure (33993)

   A clinical scenario and procedural narrative are provided for the revised repositioning code. The section explains the broad documentation context for device repositioning encounters.