On Demand: CT Surgery Coding Series Part 1: Open Heart and Cardiothoracic Procedures-Webinar Slides

Webinar Slides

Pdf Summary

This document is a MedAxiom coding webinar on cardiac and valve surgery procedures, focused on CPT coding for coronary artery bypass grafting (CABG), open valve operations, MAZE procedures, and selected other heart and great vessel surgeries. It explains coronary anatomy, graft types, and how to code arterial, venous, and combined CABG cases, including add-on codes for vessel harvesting, reoperation, coronary endarterectomy, left atrial appendage exclusion, and intraoperative ultrasound.<br /><br />The presentation also reviews open heart valve anatomy and procedures for the aortic, mitral, tricuspid, and pulmonary valves, with code guidance for valvuloplasty, replacement, repair, and special procedures such as Ross/Ross-Konno and annular enlargement. It covers MAZE coding, distinguishing limited versus extensive procedures and when they are performed with other cardiac surgery.<br /><br />Several detailed operative case examples demonstrate real-world code assignment for complex scenarios such as CABG with multiple graft types, vein and artery harvesting, balloon pump placement, drainage of pericardial and pleural effusions, aortic valve replacement with mitral repair and aortoplasty, redo sternotomy with pericardiectomy, left atrial appendage ligation, PFO closure, and combined CABG/valve/MAZE surgery. Each case shows how specific operative details map to CPT codes and modifiers, especially modifier 51, 59, and 22 when appropriate.<br /><br />The closing sections include general coding disclaimers, AMA CPT copyright information, and webinar CEU certificate instructions.

Keywords

CABG

cardiac surgery coding

valve surgery

CPT coding

MAZE procedure

coronary artery bypass grafting

valve replacement

graft harvesting

left atrial appendage exclusion

modifier 51