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Aortic exploration

  1. Post Aortic exploration
    Medical Coding Books

    My surgeon did a CABG along with an aortotomy.. Here's what the op note states: An aortotomy was made just at the level of the line of Rindfleisc. Once the aortotomy was made. the aortic valve was inspected. It was deemed not to be stenotic in any fashion, however, there was a small bit of calcium at the level of the aortic annulus at the noncoronary cusp that was sniped off with a rongeur forcep. With this small calcium removed, the aorta was irrigated copiously and the aortotomy closed using running 4-0 Prolene suture.

    This does not fit the standard of cpt codes 33400 - 33401 nor does is fit in with 33310-33315. Does anyone have another suggestion?


  2. Default
    I would use 33400. Your surgeon opened the aorta near the valve and then removed some calcium from annulus of the valve.

    Lisi, CPC

  3. Default Aortic Valve Repair
    I am in need of the CPT code for an aortic valve repair with leaflet plication, commissural plication, leaf shortening and commissural annuloplasty. Would I use code 33400 for this procedure. Thanks.

    Sorry this isn't a reply but a question. I'm not sure how to start a thread.
    Last edited by ruthann.cole; 08-08-2014 at 09:29 AM.

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