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Wiki TMVR with 93355

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MVallines

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Hello

We do TMVR (transcatheter mitral valve repair using mitra-clip, during the session the physician uses TEE for guidance 93355 - TEE with invasive procedure. my question this is being denied as bundled with CCI of 0 never to be used together, but in the CPT book it says : A range of intracardiac therapies may be performed with TEE guidance. Code 93355 - describes TEE during advanced transcatheter structural heart procedures (eg, transcatheter aortic valve replacement [TAVR], left atrial appendage closure [LAA], or percutaneous mitral valve repair). Can someone please help me to understand why this seems contradicting or am I wrong.

PLEASE help me
 
93355

I bill those two codes and have never had a problem
One Dr does the TMVR and another one of our Drs does the TEE
 
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Please see the Echocardiography section in the CPT book prior to the codes. There is a lot of good information in this section. It states, "Code 93355 is reported once per intervention and only by an individual who is not performing the interventional procedure." Hope this helps!
 
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