Transcatheter Mitral Valve Repair (33418, 33419, 0345T) (September 2015)

September 2015 pages 3-6 Transcatheter Mitral Valve Repair (33418, 33419, 0345T) In the Current Procedural Terminology (CPT®) 2015 code set, extensive reporting guidelines for transcatheter mitral valve repair (TMVR) were established, and two new codes (33418, 33419) were added to the Cardiovascular System/Mitral Valve series of codes (33418-33430). Before the addition of these codes, Category III codes 0343T and 0344T were used to report TMVR via a percutaneous approach including transseptal puncture and additional prosthesis(es) during the same session. The Category III codes were converted to Category I because the technique of TMVR performed via a percutaneous approach...

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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 explains the September 2015 CPT Assistant guidance on transcatheter mitral valve repair and related cardiac catheterization and imaging services. It is intended for coders, billers, and clinical documentation staff who need to understand the CPT 2015 updates, how the TMVR reporting framework is organized, and what types of accompanying services are addressed in the article.

Why This Topic Matters

Transcatheter mitral valve repair was a changing area in CPT 2015, and this article helps readers identify the relevant code set updates and the surrounding reporting context without relying on the premium text.

Article Sections

  1. September 2015 pages 3-6

    Introduces the article and frames the CPT 2015 discussion of transcatheter mitral valve repair coding and reporting guidance.

  2. New Codes (33418, 33419)

    Summarizes the main CPT 2015 code updates for transcatheter mitral valve repair and the associated reporting context.

  3. Clinical Example (33418)

    Provides a clinical scenario illustrating the type of case addressed by the guidance for the primary TMVR code.

  4. Description of Procedure (33418)

    Describes the procedural workflow and peri-procedural context associated with the primary TMVR example.

  5. Clinical Example (33419)

    Provides a second clinical scenario illustrating use of the additional-prosthesis code in the TMVR setting.

  6. Description of Procedure (33419)

    Describes the procedural workflow and peri-procedural context associated with the additional-prosthesis example.

  7. Category III Code and Guidelines

    Reviews the Category III TMVR code in the CPT 2015 framework and the broader guidance surrounding it.

  8. Clinical Example (0345T)

    Provides a clinical scenario illustrating the type of case addressed by the coronary sinus TMVR code.

  9. Description of Procedure (0345T)

    Describes the procedural workflow and peri-procedural context associated with the coronary sinus TMVR example.

What You Will Learn

  • How the article frames CPT 2015 guidance for transcatheter mitral valve repair
  • What categories of procedural and diagnostic services are discussed alongside TMVR
  • How the article organizes the discussion of the primary and add-on TMVR codes
  • What supporting procedural contexts are addressed in the coronary sinus TMVR discussion

Who Should Read This

  • Medical coders
  • Billing professionals
  • Revenue cycle staff
  • Clinical documentation specialists
  • Cardiology coding staff

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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