Results 1 to 3 of 3

Attempted AVR

  1. #1
    Columbus, Ohio
    Default Attempted AVR
    Exam Training Packages
    Name of Procedure: Exploratory median sternotomy in an attempt to perform aortic valve replacement.

    ....a median sternotomy was performed the same time that the endovascular equipment was inserted in the right lower extremity. The mediastinum was dissected. The pericardium was incised and marsupialized. Once we had exposed the ascending aorta on the heart, we noticed that the aorta was very calcified. We checked the extent of this calcification and noticed tht it was unsafe to cannulate this patient. In order to continue with the standard AVR, the patient will require peripheral cannulation and hypothermic circulartory arrest to also replace the ascending aorta. In view of this fragile clinical condition, we made the decision of not proceeding with the AVR and to abort the open heart procedure.

    I wasn't sure whether I should bill the 33405-53 or should I bill with a sternotomy code. My gut feeling tells me the 33405-53. Any input would be appreciated!

  2. Default

    I think I agree with 33405-53. I believe you're supposed to keep the primary diagnosis the same (whatever it was going to be for the AVR - ie: 424.1) and then add the extenuating circumstance as the 2nd dx., which in this case would be 440.0.

    Lisi, CPC

  3. #3
    Columbus, Ohio
    I would have forgotten about the 440.0 code....thanks for your help!

Similar Threads

  1. avr
    By churst21 in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 02-29-2012, 05:50 PM
  2. AVR with PA Assistant
    By jewlz0879 in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 10-20-2011, 01:12 PM
  3. Help AVR cpt
    By banjo in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 05-11-2011, 12:22 PM
  4. Transfemoral AVR
    By jewlz0879 in forum Cardiology
    Replies: 0
    Last Post: 02-22-2011, 01:33 PM
  5. Re-do AVR/CABG
    By wwalton in forum Cardiovascular Thoracic
    Replies: 3
    Last Post: 03-12-2010, 10:26 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.