Wiki Valve replacements w/ additional reconstruction or repair

Michelle Thompson

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Maple Shade, NJ
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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.
 
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