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Thread: Core Matrix Patch

  1. #1

    Default Core Matrix Patch

    AAPC: Back to School
    The surgeon performs a aortocoronary bypass grafting (1 Art 2 ven) and at the end of the procedure he states that he "placed a patch of core martix over the ventral aorta and graft in attempt to insulate it from the healing periosteum." Is this a separatly reportable procedure?

  2. #2


    There is an Aortic wrap procedure that our Dr.'s perform. It's basically a dacron material thats used to reinforce the aorta,thereby diminishing the risk for potential rupture. The aorta is not repaired, replaced or grafted.. So we use a unlisted procedure code 33999 and send in w/ op notes. You would have to read more into your op note to see if this is what the Dr. did. If so use the 33999-

  3. #3


    All the reports says about that portion of the procedure is "We placed a patch of core matrix over the ventral aorta and graft in attempt to insulate it from the healting periosteum." In this case the aorta was not repaired or replaced however a CABG was done.
    When you bill for the aorta wrap is that done in conjunction with other procedures (i.e. CABG) or is that the only procedure you are billing for?

  4. #4


    I have seen it done alone or w/ CABG's . But the diagnosis is always for Aortic Dilitation. I'm not sure in your case if this patch is considered a full wrap b/c it states for healing periosteum.

  5. #5


    I Think I found you the perfect code check out 15430--

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