Coding Tips & FAQs . If you have a coding tip or FAQ that you would like to see addressed on this page, please submit your suggestion using the Coding Help Desk form. Pericardial Patch Grafts in Glaucoma Implant Surgery on ResearchGate, the professional network for scientists. Baxter's BioSurgery business is specialized in intra-operative wound and tissue management and aiming at improving surgical practice by the development and use of. The surface of the pericardial patch graft slowly epithelialized, and complete healing was evident by 3 weeks postoperatively. Eleven months after the patching. The material presented here is, to the best of our knowledge, accurate and factual to date. The information and suggestions are provided as guidelines for coding and reimbursement, however, and should not be construed as organizational policy. The Society of Thoracic Surgeons disclaims any responsibility for the consequences of actions taken, based on the information presented in the Coding & Reimbursement Corner section of this website. Adult Cardiac Surgery. Robotic Procedures. There are no specific codes for robotic or robotically assisted procedures. The options are: Report the existing procedure code (e. CABG) with no modifiers. Report the existing procedure code (e. CABG) and append either the - 2. Report the unlisted code 3. Sternal Closures. Sternal closure, regardless of how it is performed (e. Pericardial Patch Graft Cpt CodeWhen sternal closure is performed as the only procedure (e. Open treatment of sternum fracture with or without skeletal fixation. Atrial Appendage Procedures. Atrial appendage ligation, plication, or clip is included in mitral valve and MAZE procedures and should not be reported separately when performed in the same session as these procedures. If an atrial appendage procedure is performed with a cardiac procedure other than MAZE or mitral valve, then it may be reported separately. For removal of thrombus, use 3. Pericardial heart valves. This article has multiple issues. Please help improve it or discuss these issues on the talk page. CryoLife Outreach programs; Quality and. The bovine pericardial tissue is incubated in. The PhotoFix Pericardial Patch measures 6cm x 8cm and is supplied. Coding, Classification and Reimbursement. A bovine pericardial patch graft was. An autologous pericardial patch graft to reconstruct the right atrium resulted in tumor-free margins. In humans, the use of autologous or bovine peri-. For anything other than thrombus removal, append the - 2. If the atrial appendage procedure is the only procedure performed, report the unlisted code, (3. If the procedure is performed for the prevention of atrial fibrillation, it does not meet medical necessity for Medicare and should not be reported. If it is done for the treatment of chronic atrial fibrillation, then medical necessity would be met and should be reported considering the criteria outlined above. Note that coverage of the procedure will be determined and will vary by payer. Reporting Transesophageal Echocardiography (TEE)The cardiothoracic surgeon can report the professional component of a TEE using code 9. Perform the professional component (interpretation and report) of the TEE; Fully documents his/her findings regarding his/her interpretation of the TEE (text such as “intra- operative TEE performed” is not sufficient to support separately reporting the service); Reports his/her portion of the service with the modifier - 2. Coordinates with the hospital and all other physicians involved to verify that no other physician (e. TEE after the surgery); andincludes an appropriate indication in the operative report supporting medical necessity for the TEE. General Thoracic Surgery. Minimally Invasive Esophagectomies. There are currently no specific codes for minimally invasive esophagectomies. Therefore the unlisted code (4. You would report the unlisted code and use the corresponding open code to help establish value for the procedure. If this is denied, report the appropriate open code. Redo Thoracotomy. There is no code for a redo thoracotomy. The only cardiothoracic reoperative procedure is 3. CABG or valve procedure where the original procedure was a CABG or valve procedure. Most payers will not recognize the reoperative thoracotomy aspect of a procedure. However, if the reoperative aspect of the procedure significantly increases the total work effort, including the time required for the procedure, then modifier - 2. Pleural Tents. There is no specific code for the creation of a pleural tent. The procedure represents more work than the primary procedure and is generally accounted for by appending a - 2. The other option would be to report the unlisted code (3. If the unlisted code is used instead of modifier - 2. Spinal Exposures. For cases where the cardiothoracic surgeon performs the thoracic exposure and closure for a spinal case with a neurosurgeon or orthopedic surgeon, the exposure and the closure are valued into the spinal procedure, so it would be considered unbundling to report those aspects of the procedure separately. The procedure should be reported as a co- surgery procedure with each physician appending the - 6. If additional levels are exposed, a - 6. Both offices should report the same CPT codes with the - 6. The spinal surgeon may also report any instrumentation or grafting codes, but these would not be subject to the - 6. Thoracic procedures allowed bilaterally. Medicare allows for a handful of thoracic procedures to be reported with modifier - 5. LVRS3. 26. 64 thoracic sympathectomy. Congenital Heart Surgery. The code should be reported just once—not once for each side. The code is not recognized bilaterally. Temporary pacemaker leads (and heart lines) are bundled into open- heart procedures and are not separately billable. Code 3. 32. 02 may be reported for the placement of a permanent pacemaker lead, as long as documentation supports the permanent nature of the lead placement. The code descriptor includes “with or without patch,” so there would be no extra charge regardless of the type of patch used. Coding, Classification and Reimbursement - American Health Information Management Association.
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