What is the CPT code for aortic valve replacement?

What is the CPT code for aortic valve replacement?

2021 facility and physician billing guide

Potential CPT Code Description Each Physician Payment (Modifier-62)
33365 Transcatheter aortic valve replacement aortic approach (e.g., median sternotomy, (TAVR/TAVI) with prosthetic valve; transmediastinotomy) $908

What is mechanical aortic valve replacement?

Aortic valve replacement In this procedure, your doctor removes the aortic valve and replaces it with a mechanical valve or a valve made from cow, pig or human heart tissue (valve). Another type of biological tissue valve replacement that uses your own pulmonary valve is sometimes possible.

Can a mechanical aortic valve be replaced?

Mechanical aortic valve replacement requires open-heart surgery with cardiopulmonary bypass.

What is the difference between a mechanical and biological aortic valve replacement?

Mechanical valves may last a lifetime, but they come with an increased risk of blood clots, necessitating the long-term use of blood thinners. Biologic valves made from pig or cow tissue typically don’t cause clotting, but they wear out sooner, often requiring patients to undergo another surgery.

Do you code aortic stenosis after valve replacement?

The principal diagnosis coding for TAVR patients is standard. These patients are all being treated for aortic valve stenosis. I35. 0 is normally always coded as principal.

What is procedure code 33361?

Potential CPT Code Description Each Physician Payment (Modifier-62)
33361 Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach $771
33362 Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach $839

How serious is an aortic valve replacement?

An aortic valve replacement is a major operation and occasionally the complications can be fatal. Overall, the risk of dying as a result of the procedure is estimated to be 1 to 3%. But this risk is far lower than the risk associated with leaving severe aortic disease untreated.

How long does a mechanical aortic valve replacement last?

Mechanical valves don’t usually wear out. They usually last 20 years or more. Other problems might happen with the valve, such as an infection. As long as you have the valve, you and your doctor will need to watch for signs of problems.

What is the lifespan of a mechanical aortic valve?

For example, they estimated that a 45-year-old undergoing mechanical valve replacement has a life expectancy of 19 years (compared with 34 years in the general population), and lifetime risk of thrombo-embolism, bleeding, and re-intervention of 18, 15, and 10%, respectively.

Are mechanical or biological heart valves better?

Biological heart valves are used in the majority of replacements and are generally considered, across all age groups, to be the best option. Mechanical valves are much more durable, but they are also more likely to succumb to clotting problems. These clotting issues can lead to serious consequences.

How do you code aortic stenosis?

Nonrheumatic aortic (valve) stenosis I35. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.