Wiki Impella device

[codinggirl]

What would be the correct CPT for a VAD inserted via axillary artery. My CTS coder indicates it would be an unlisted as 33990 utilizes femoral access per Optum Desktop Reference. The CPT book indicates "arterial access" so I want to use the 33990.

 

[ccollison]

Impella VAD percutaneous insertion thru arterial exposure is 33990.
FYI-Removal of VAD at same session of insertion is not separately reportable.

C Collison CPPM, CCC