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Wiki tricuspid repair

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rsadkins

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I have a note were the surgeon performed: CABG x1 reverse saphenous vein graft, transseptal mitral valve replacement with 27 mm pericardial valve using chordal-sparing technique, extended Maze procedure on bypass, and TEE. This is straight forward to me.

My question is in his documentation he examines the tricuspid valve and actually places a ring, after intraoperative testing, decides that the tricuspid insufficiency was moderate, and the ring was removed. He does an excellent job documenting this. Can I bill this?

Anyone's opinion is appreciated.

Thanks.
 
my first instinct is to say yes, it's ok to bill for it. If he actually did the entire procedure he should be able to bill for it.
 
I would bill CPT 33463 - valvuloplasty, tricuspid vlave; without ring insertion. If the work involved in placing and then removing the ring was extensive, you could maybe add the -22 modifier.

Lisi, CPC
 
I know this was posted forever ago, but is a transseptal mitral valve replacement more difficult then a "regular" mitral valve replace?
 
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