Transcatheter Closure of Paravalvular Leak (September 2017)

September 2017 pages 3-5 Transcatheter Closure of Paravalvular Leak In the Medicine/Cardiovascular section of the Current Procedure Terminology (CPT®) 2017 code set, a new subsection, Transcatheter Closure of Paravalvular Leak, was created to identify repairs performed for paravalvular leaks (PVLs) and to allow the reporting of catheter-based PVL closure procedures. This new subsection includes guidelines, parenthetical instructions, and three new codes (93590, 93591, 93592). This article discusses this new subsection and provides guidance on the appropriate use of these new codes. Transcatheter Closure of Paravalvular Leak 93590Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve (Do not...

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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 article covers a CPT® 2017 cardiovascular coding update focused on transcatheter closure of paravalvular leak procedures. It is aimed at coding professionals and clinicians who need to understand the new subsection structure, accompanying guidance, and the types of procedural situations addressed in the article. The content also discusses related catheterization considerations, add-on reporting, and illustrative procedural examples.

Why This Topic Matters

The article helps readers recognize a newly created CPT subsection and understand the broader procedural context in which these repairs are reported. It is relevant for accurate code selection and for distinguishing the core closure service from related catheter-based services discussed in the update.

Article Sections

  1. September 2017 pages 3-5

    Introductory publication information and the main topic of the update.

  2. Transcatheter Closure of Paravalvular Leak

    Overview of the new CPT subsection and the general subject of catheter-based paravalvular leak closure procedures.

  3. New Guidelines

    Summary of the guidance that accompanies the new subsection, including reporting considerations and the relationship to related cardiovascular catheter-based services.

  4. Clinical Example (93590)

    An illustrative procedural scenario associated with one of the new codes and the corresponding procedural description.

  5. Clinical Example (93591)

    An illustrative procedural scenario associated with another new code and the corresponding procedural description.

  6. Clinical Example (93592)

    An illustrative procedural scenario associated with the add-on code and the corresponding procedural description.

What You Will Learn

  • How the article situates a new CPT cardiovascular subsection within the broader code set
  • What general types of guidance are included with the new paravalvular leak closure section
  • Which related procedural themes and catheter-based services are discussed alongside the update
  • How the article uses clinical examples to illustrate the reported procedures

Who Should Read This

  • Medical coders
  • Coding educators
  • Cardiology billing staff
  • Physician documentation specialists
  • Health information management professionals

Codes Discussed

Modifiers Discussed


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