CPT^® 33259, Under Incisional Electrophysiologic Procedures on the Heart and Pericardium

The Current Procedural Terminology (CPT^®) code 33259 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, at the same time as another cardiac procedure, the provider destroys extensive tissue of the atria of the heart causing an abnormal heart rhythm and then performs an extensive reconstruction of 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 causes the atria, the upper two chambers of the heart, to contract rapidly and irregularly. The provider places the patient on cardiopulmonary bypass during this procedure.

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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

Hello all - I have an OP report where my CT surgeon isolated the bilateral superior and inferior pulmonary veins during CABG surgery using cryoablation. I normally bill 33259 when the ablation involv... [ Read More ]

The Sad Hunt as a CPC-A

[QUOTE="sriojas, post: 468629, member: 33259"] I started coding/billing back in 1987 not realizing that I was doing coding. I did not get my CPC certification until 2008 which I did not pass the firs... [ 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 ]

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 ]

Please help av replace - pulmon vein isolation etc

[b]AV replacement with Maze[/b] [QUOTE="KHYATT@2016, post: 415828, member: 117131"]Postoperative diagnosis: #1 severe, symptomatic aortic stenosis with bicuspid aortic valve #2 atrial fibrillation wi... [ Read More ]

Please help av replace - pulmon vein isolation etc

Postoperative diagnosis: #1 severe, symptomatic aortic stenosis with bicuspid aortic valve #2 atrial fibrillation with rapid ventricular response #3 moderate left ventricular dysfunction #4 New York H... [ 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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