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"A midline incision was made to the sternum with a sternal saw. A high-flow aortic cannula was placed, a two-stage venous cannula was placed, and the patient was placed on full cardiopulmonary bypass. Following this the aorta was cross-clamped with patient given a single dose of antegrade cardioplegia. I ligated the left atrial appendage with a 45 mm AtriCure clip. Aorta was open, and aortic valve inspected. There was a mass very consistent with a fibroblastoma on the left coronary cusp. I excised this sharply with scissors and then debrided it with a 15 blade. Care was taken to preserve the aortic valve. Following this, the aorta was closed with a running Prolene suture. Following this I de-aired the ventricle for the next 10 minutes, and the cross-clamp was removed. Patient was easily weaned from cardiopulmonary bypass. Sternum was closed with sternal wires and the wounds closed with Vicryl sutures." Do we code for the mitral valve clip (33999 since it's an open procedure), or is this inclusive of the primary procedure 33120?