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Valve replacements w/ additional reconstruction or repair

  1. #1
    Central Philadelphia chapter
    Default Valve replacements w/ additional reconstruction or repair
    Medical Coding Books
    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.

  2. Default
    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

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