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Correct coding for a "Florida sleeve " for aortic root dilation & AV insuff

Date: Dec 19, 2019

Question:

Our doctor's short description of what was done is: "Transesophageal echocardiography; total cardiopulmonary bypass; Florida sleeve aortic root reconstruction using 30 mm Dacron Hemashield graft and reduction aortoplasty of aortic root above the midportion of the noncoronary cusp." We are back and forth between 33864 and 33860-22. Since the Florida Sleeve procedure is new to our facility, I'm asking what the most appropriate code would be. Since the surgery was similar yet a different procedure with the root than the "David Procedure".

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