On Demand: Essential Coding Strategies for Structural Heart and Procedural Services-Webinar Recording

Video Transcription

Video Summary

This webinar, presented by Michelle Platt and Tammy Barron of MedAxiom, focuses on coding strategies for structural heart and procedural services, especially transcatheter heart valve procedures. They began by reviewing key acronyms such as TAVR (transcatheter aortic valve replacement), TMVR (mitral valve repair), TMVI (mitral valve implantation), TTVR (tricuspid valve repair), TTVI (tricuspid valve implantation), and LAAO (left atrial appendage closure). The speakers provided a brief overview of heart anatomy and common valve conditions like stenosis and regurgitation.<br /><br />The session detailed National Coverage Determination (NCD) requirements, highlighting interdisciplinary involvement (cardiac surgeon and interventional cardiologist) and the necessity of documentation and billing modifiers (62 and Q0) for TAVR codes. They discussed coding nuances for various procedural approaches and adjunct services such as bypass, ventricular support devices, and diagnostic catheterizations that may be separately billable if clearly medically necessary.<br /><br />Case studies illustrated practical coding applications for TAVR, TMVR (MitraClip), TTVR (TriClip), and LAAO (Watchman device), emphasizing inclusion of clinical trial numbers (NCT), modifiers, and specific CPT codes. The speakers stressed the importance of thorough documentation, differentiating provider roles, and adherence to payer policies.<br /><br />The presentation concluded with an extensive Q&A covering topics like coding challenges for auxiliary approaches, assistance modifiers, documentation requirements, co-surgeon billing, and carrier-specific reimbursement issues. Attendees were reminded of an upcoming CPT overhaul in 2026 and MedAxiom’s bootcamp for updated coding education. The session underlined that all information is for educational purposes and recommended consulting payers and legal counsel for reimbursement guidance.

Keywords

TAVR

TMVR

TTVR

LAAO

transcatheter heart valve procedures

National Coverage Determination

coding modifiers

CPT codes

cardiac surgery billing

MedAxiom webinar