On Demand: Essential Coding Strategies for Structural Heart and Procedural Services-Presentation Slides

Presentation Slides

Pdf Summary

The 2025 MedAxiom presentation titled "Essential Coding Strategies for Structural Heart and Procedural Services" by Michelle Platt and Tammy Barron offers comprehensive guidance on coding practices for advanced structural heart procedures. It includes coding for Transcatheter Aortic Valve Replacement (TAVR/TAVI), Mitral Valve Repair and Implantation (TMVR/TMVI), Tricuspid Valve Repair and Implantation (TTVR/TTVI), and Left Atrial Appendage Occlusion (LAAO).<br /><br />Key anatomy and conditions affecting heart valves—such as stenosis and regurgitation of the aortic, mitral, and tricuspid valves—are outlined to provide clinical context. The presentation emphasizes the necessity of a multidisciplinary heart team and hospital infrastructure compliance as per Medicare’s National Coverage Determinations (NCDs).<br /><br />Coding details include CPT codes for procedural steps, approaches, and device usage (e.g., 33361-33366 for TAVR, 33418-33419 for TMVR, 0569T-0570T for TTVR, and 33340 for LAAO). Separate billing instructions are provided for adjunctive procedures such as cardiopulmonary bypass support, diagnostic angiography, ventricular assist devices, balloon pump insertion, intracardiac echocardiography, and temporary pacemaker placement.<br /><br />Case studies illustrate practical application of coding, including detailed procedural summaries with provider roles and appropriate CPT/Q-sign modifiers for professional reimbursement. The documentation stresses the need for accurate and compliant coding aligned with payer policies, highlighting that MedAxiom offers reference guidance but not legal or billing advice.<br /><br />Finally, the content clarifies that Revenue Cycle Solutions webcasts offer AAPC CEU credits and underscores the importance of verifying coding with local carriers and specialists due to frequent regulatory updates. The AMA CPT disclaimer reinforces that coding choices and reimbursement responsibility lie with the provider institutions.

Keywords

Structural Heart Coding

TAVR Coding

TMVR Coding

TTVR Coding

LAAO Coding

Heart Valve Procedures

Medicare NCD Compliance

CPT Codes

Multidisciplinary Heart Team

AAPC CEU Credits