CODING PRACTICE - CARDIOVASCULAR SYSTEM - ASSIGN THE APPROPRIATE CPT AND/OR MODIFIER TO EACH CASE BELOW
1. PATIENT UNDERGOES AORTIC VALVE REPLACEMENT WITH STENTLESS TISSUE VALVE, BY DIVISION. CARDIOPULMONARY BYPASS IS PROVIDED.
a. Replacement, aortic valve, with cardiopulmonary bypass
2. AN 18-YEAR-OLD PATIENT UNDERWENT REPAIR OF DUCTUS ARTERIOSUS. POSTEROLATERAL THORACOTOMY WAS PERFORMED TO ACCESS THE HEART.
a. Repair of patent ductus arteriosus
3. PATIENT UNDERWENT CORONARY ARTERY BYPASS, DURING WHICH A SINGLE ARTERIAL AND SINGLE VEIN GRAFT WAS PERFORMED.
a. Coronary artery bypass, using arterial graft(s)
b. Coronary artery bypass, using venous graft(s) and arterial graft(s)
4. A 7-YEAR-OLD CHILD UNDERWENT REPAIR OF PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT, AND A PROSTHETIC CONDUIT WAS USED.
a. Surgical procedures on the pulmonary artery
5. PATIENT UNDERWENT INSERTION OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S), VENTRICULAR. AN ADDITIONAL ELECTRODE WAS INSERTED IN THE LEFT VENTRICLE TO PROVIDE A BIVENTRICULAR (DUAL CHAMBER) PACING SYSTEM AND ATTACHED TO THE INSERTED PACEMAKER.
a. Insertion of new or replacement of permanent pacemaker with transvenous electrode(s)
b. Under pacemaker or implantable defibrillator procedures