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IABP removed & replaced multiple times during same session

Date: Jul 22, 2019

Question:

A patient had an IABP placed for cardiogenic shock the day before but due to malpositioning they are brought back the next day. During the session on the following day, the kinked malpositioned IABP is removed and a new IABP inserted (33967 and 33968-XU). During maintenance of pressure for homeostasis, the IABP again dislodged due to the acute angle of the arterial insertion site. The IABP was removed (33968-XU,76) and another new IABP inserted (33967-76). Per CPT Assistant, Nov 2011, both the insertion and removal may be coded when done during the same session for this type of scenario, but would you code the IABP insertion and removal twice each with the appropriate modifiers or only once?

Question ID : 12803
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