Items Tagged: TAVR

ZHealth Coding Newsletter - October 2016

October 2016 Q & A

Question: Femoral Stent to Stop Bleeding

A patient had a TAVR procedure and had continued bleeding of the femoral artery, so a femoral artery stent was deployed. What code do I use for this service? I see that the CPT book states, "Codes 37220-37235 are to be used to describe lower extremity endovascular revascularization services performed for occlusive disease," so I know that these codes do not apply since the stent was deployed for hemostasis. Is this a billable service?

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ZHealth Coding Newsletter - March 2014

Q & A with Dr. David Zielske

Question: Permatemp Pacemaker Placed Post TAVR

Recently our cardiologists have started prophylactically inserting a "permatemp pacemaker" at the end of all TAVR procedures as part of a new guideline (I'm not sure whether this is an internal policy or a new guideline for standard of care on all TAVR procedures). If no significant heart block develops, they are removed later.

I feel that we should not bill for prophylactic care and that codes 33216 and 33234 should only be billed when the patient is documented as having heart block necessitating the continued pacing after removal of the pacing wire/balloon used during the TAVR. What are your thoughts?

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