On Demand: Cardiothoracic Series 1: Coding for Adult Heart & Valve Procedures-Q&A

Q&A

Pdf Summary

The document is a Q&A session discussing various coding and billing questions related to cardiovascular surgeries including CABG, valve repairs, and TAVRs. It clarifies that only the most extensive procedure should be coded, such as a replacement over a repair, and additional modifiers may be needed based on specific circumstances. The document also addresses coding for tear repairs, vessel procurement during grafting procedures, and billing for ancillary services like TEE during TAVR. It emphasizes that certain procedures like closure in CABG surgeries are considered integral parts of the operation and should not be separately billed. Lastly, it outlines the criteria for an extensive MAZE procedure which involves additional ablation of the atrioventricular annulus. Overall, the document provides guidance on accurate coding and billing practices for cardiovascular procedures in compliance with CMS and STS regulations.

Keywords

cardiovascular surgeries

CABG

valve repairs

TAVRs

coding and billing

modifiers

tear repairs

vessel procurement

ancillary services

MAZE procedure