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TAVR open or perc

Date: Dec 19, 2018

Question:

Surgeon does cutdown to expose the artery, and the cardiologist sticks the artery and inserts the sheath, through which the TAVR is completed with no complications. We are having a debate about this being open (33362) or percutaneous (33361). We are coding for the cardiologist, not the surgeon, and it looks like there are a lot of opinions about this. But, if you get it wrong, you could set up an overpayment situation by Medicare.

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