Wiki Valve replacements w/ additional reconstruction or repair

[Michelle Thompson]

I have two separate patients, both had :
Aortic Valve Replacement 33405 & Mirtral Valve Replacement 33430.
Each had additional work done.
patient #1 had -Patch repair of Aortic Wall and Left Sinus (? cpt code)
patient # 2 had -Reconstruction of Mitral and Aortic Valve Annuli (? cpt code)
Can we bill for this additional work? What codes would I use, or would I just bill with modifier 22?

Thank you for any advice you have.

 

[lisigirl]

I've come across similar cases and I always just add the -22 modifier. Medicare did make additional payments on these after reviewing the documentation.

Lisi, CPC
eharkler@nmh.org