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33530 - Does anyone know if STS

  1. #1
    Default 33530 - Does anyone know if STS
    Medical Coding Books
    Does anyone know if STS has changed their stance on billing this code only when the original surgery was a CABG or Valve and the current surgery is a CABG or valve? It seems silly to not be able to utilize the re-do code when there was a previous sternotomy for a different procedure since it still makes any re-do technically challenging. Any opinions on this matter welcome. Thanks!

  2. Default
    No, the STS still says you can only use this code with re-do CABGs and valves (and code 33863). It sounds like they fought hard for this code and the best they could get was re-do CABG and valves. If your surgeon is doing another procedure requiring a re-do sternotomy, you could add the -22 modifier if the documentation supports the increased difficulty.

    Lisi, CPC

    Lisi Harkleroad CPC
    Coding & Billing Analyst
    Division of Cardiothoracic Surgery
    Northwestern Medical Faculty Foundation, Inc.
    (312) 695-2033

  3. #3
    Thank you for your response. Just wanted to make sure I was doing it correctly!

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