Transcatheter Pulmonary Valve Implantation (TPVI) (March 2016)

March 2016 pages 5-6 Transcatheter Pulmonary Valve Implantation (TPVI) In the Current Procedural Terminology (CPT®) 2016 code set, Category III code 0262T, which described transcatheter pulmonary valve implantation (TPVI), was deleted and converted to a Category I code 33477. In addition, new guidelines were added and parenthetical notes were revised to provide instruction for the appropriate reporting of this code. This article discusses these changes that were made in the Cardiovascular System/Pulmonary Valve subsection of the CPT code set. New Code 33477 33477Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed Category...

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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 CPT Assistant article explains March 2016 updates affecting transcatheter pulmonary valve implantation (TPVI) in the Cardiovascular System/Pulmonary Valve subsection. It is aimed at coding professionals, clinicians, and compliance staff who need to understand the transition from a former Category III service to a Category I code, related guideline revisions, and the general reporting framework for associated diagnostic and interventional services.

Why This Topic Matters

TPVI is a specialized cardiovascular procedure with coding changes that affect documentation review, service bundling, and separate reporting of related procedures. Accurate awareness of the updated CPT guidance helps support consistent claims processing and compliant code selection.

Article Sections

  1. March 2016 pages 5-6

    Introduces the article’s scope and places the topic within the March 2016 CPT Assistant issue. The section frames the coding update discussion for the pulmonary valve subsection.

  2. New Code 33477

    Summarizes the change from a prior Category III service to a Category I service and notes the related reporting context in the CPT cardiovascular system section. The section also discusses associated stent and angioplasty reporting considerations at a high level.

  3. New Pulmonary Valve Guidelines

    Reviews the revised CPT guidance for reporting the procedure and related diagnostic services. It also addresses general relationships with other cardiovascular, catheterization, imaging, and support procedures.

  4. Clinical Example (33477)

    Presents a patient scenario illustrating the type of case addressed by the article. The example supports understanding of the procedure context without serving as a coding instruction.

  5. Description of Procedure (33477)

    Provides a procedural walkthrough showing the broad workflow and equipment involved in the intervention. It is included as source context for the article’s coding discussion.

What You Will Learn

  • How the March 2016 CPT update changed the reporting framework for transcatheter pulmonary valve implantation
  • What general types of revised guidance were added to the cardiovascular system/pulmonary valve subsection
  • How the article frames related diagnostic, imaging, and support services in the context of TPVI
  • What clinical and procedural context the article uses to illustrate the service

Who Should Read This

  • Medical coders
  • Coding auditors
  • Cardiovascular billing staff
  • Clinical documentation specialists
  • Compliance professionals
  • Cardiology and interventional teams

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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