CPT^® 33990, Under Cardiac Assist Procedures

The Current Procedural Terminology (CPT^®) code 33990 as maintained by American Medical Association, is a medical procedural code under the range - Cardiac Assist Procedures.

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Summary

The provider inserts a ventricular assist device (VAD) percutaneously, or through the skin, and into the patient’s left heart under radiological guidance. The provider uses the arterial system to access the left heart.

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Have a question about CPT Code 33990 ? Start a discussion here

NCD vs LCA

[QUOTE="mhaney, post: 514862, member: 342645"] Can LCA can override an NCD? Our MAC, Noridian, is denying use of an impella (33990) during high risk PCI based on diagnosis; LCA - (A52966). The NCD (A5... [ Read More ]

NCD vs LCA

Can LCA can override an NCD? Our MAC, Noridian, is denying use of an impella (33990) during high risk PCI based on diagnosis; LCA - (A52966). The NCD (A53986) for this procedure show the service is co... [ Read More ]

VAD CPT 33990

Does anyone have any guidance on coding two Impellas inserted on the same day. Impella CP (left) is coded with CPT 33990 with a MUE of 1. Can I code the second visit to the OR (Facility coding) with a... [ Read More ]

Coding VAD CPT 33990 exceeding MUE

RVAD and LVAD together?

My doctor placed both an RVAD and an LVAD. How would you code for this? It looks like CCI edits prevent me from billing CPTs 33995 and 33990 together. Thank you in advance. Procedures Impella Inse... [ Read More ]

Denial 92941/92928/92973

I have 93454-59-26, 92928-RC, 92941-LC, 33990. I didn't code 92973 because there is no evidence that an AngioJet catheter was used. I used 92941 for revascularization of occlusion during acute MI, s... [ Read More ]

Impella Device

Can someone please help me? I have coded the following procedure. Is this correct? Physician note below. Insurance has denied the Cardiac cath saying it is bundled with the Impella. 92928-LD 93458-... [ Read More ]

New to cardiac cath coding. Payer says 92928 and 92920 bundled into 92941??

In short, patient presented to cath lab with Anterolateral STEMI in cardiogenic shock. MD performed Left heart catheterization with ventriculography. Impella placed. Drug-eluting stent L main. Ba... [ Read More ]

cpt 92992

[URL='https://vitalware.com/resources/articles/cy-2021-cpt-%EF%B8%8F-code-set-available-now-in-vitalknowledge-%EF%B8%8F']Changes to the Cardiovascular section of the book Include the addition of two n... [ Read More ]

cpt for 5.5 impella insertion?

Depends what access your talking man. Like most interventional Cardio procedures- 1). What’s the access site. Arterial? Venous? Both. Is the impella goin into the left ventricle or right ventricle? ... [ Read More ]

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