CPT^® 33257, Under Incisional Electrophysiologic Procedures on the Heart and Pericardium

The Current Procedural Terminology (CPT^®) code 33257 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 add–on procedure, at the same time as another cardiac procedure, the provider destroys abnormal 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 to contract rapidly and irregularly.

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Valve Replacement with Radiofrequency ablation of Pulmonary Vein Isolation

Dr performed a Mitral Valve replacement (CPT code 33430) and Tricuspid Valve replacement (33465) both were on cardiopulmonary bypass. A radiofrequency ablation, pulmonary vein isolation (33257) was a... [ Read More ]

Isolation of pulmonary veins during CABG

[QUOTE="joseph_mccann@att.net, post: 500129, member: 229846"] Hello all - I have an OP report where my CT surgeon isolated the bilateral superior and inferior pulmonary veins during CABG surgery using... [ Read More ]

Isolation of pulmonary veins during CABG

Look at 33257... [ Read More ]

Ligation of Atrial Appendage

I read that differently. The add on code would be used to follow whatever procedure required the median sternotomy or cardiac bypass. I googled Maze procedure and although I didn't get a clear idea o... [ Read More ]

Ligation of Atrial Appendage

[QUOTE="fwnewbie, post: 466663, member: 618502"] In the note under Electrophysiologic Operative Procedures in CPT, isolation of the left appendage by any method during a concurrent procedure requiring... [ Read More ]

Ligation of Atrial Appendage

In the note under Electrophysiologic Operative Procedures in CPT, isolation of the left appendage by any method during a concurrent procedure requiring a median sternotomy or cardiac bypass is coded w... [ Read More ]

Ligation of Atrial Appendage

Does anyone know if this will ever have it's own CPT code for when this is done with open cardiac procedures. Not all insurance companies will pay 33999. And 33257-52 can't be used per Julie Painter. ... [ Read More ]

Atricare device

Unfortunately, the atrial appendage procedure is not separately billable as your physician did a limited maze procedure. Hence his verbiage states that the right and left pulmonary veins were ablated ... [ Read More ]

Atricare device

I believe you have both a limited maze (33257) with a LAAS (left atrial appendage stapling) with your CABG. I use to bill the LAAS as 33999 (and you know what that pays! LOL). I would bill your CABG ... [ 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 ]

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