CPT^® 33254, Under Incisional Electrophysiologic Procedures on the Heart and Pericardium

The Current Procedural Terminology (CPT^®) code 33254 as maintained by American Medical Association, is a medical procedural code under the range - Incisional Electrophysiologic Procedures on the Heart and Pericardium.

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Summary

In this procedure, the provider destroys tissue of the atria of the heart causing an abnormal heart rhythm, and then she reconstructs the left and right atrium, or the chambers at the top of the heart that receive the blood returning from the veins. The procedure treats atrial fibrillation, a condition in which abnormal electrical signals cause the atria, or the upper two chambers of the heart to contract rapidly and irregularly.

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Need help, please

Have you looked at the description for 33254?... [ Read More ]

Atricare device

I'm interesting in knowing how this procedure is being billed Dr. is doing a pulmonary vein isolation using the Atricare device and atrial clip placement on the left atrial appendage. I've read when d... [ Read More ]

Mitral Valve replacement and MAZE at the same time

[QUOTE="denali1116, post: 410799, member: 226473"]Yes you can bill 33430 and 33259 as long as it is correctly documented.[/QUOTE] Just wanted to add to your post that you would only use a modifier (5... [ Read More ]

Minimally invasive endoscopic epicardial maze procedure

MAZE procedure; 33254 since it's limited involving pulmonary veins and left atrium. On pg. 174 of AMA 2012 CPT, it defines what's considered 'limited' and 'extensive.' Also, if this was performed a... [ Read More ]

modified maze vs. maze

what would u look for in a report to decide if the doctor did a modified maze (33254) or maze procedure (33255-33256).... [ Read More ]

Op help please-Lung surgery

Okay, I need some help here please, would like opinions: Mr. X is a pleasant 71 year old male who presented to an outside institution for a pneumothorax. He had one chest tube placed and then develop... [ Read More ]

cabg question

Hi Everybody Practice question given to my students was for a CABG x3 with endoscopic saphenous vein harvesting and modified maze procedure. The answer given as correct is : 33512, 33508, 33254-51 S... [ Read More ]

How would you code ligation of atrial appendage?

That's a good question. I usually see this when a MAZE procedure 33254 is done and I was told the oversewing is included in the MAZE procedure. There is no billable code when done without maze. See... [ Read More ]

Cardiac Surgery

OK, I have only been coding cardiac surgery for a little less than a year now, but one question was posed to me by one of our physicians. In codes 33254 to 33259 CPT refers to "and reconstruction of ... [ Read More ]

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