Please note this question was answered in 2021. The coding advice may or may not be outdated.
Perclose Retrieval During TAVR
Question:
"Transaxillary TAVR performed by interventionalist and cardiothoracic surgeon. Right CFA was accessed percutaneously with a 6 French sheath. Two guidewire technique was planned. Access was obtained in the left subclavian artery via cutdown by surgeon and 14 French sheath placed. Valvuloplasty performed. 29 mm Evolut PRO was inserted into the aortic valve. Hemostasis was then obtained in the left subclavian artery with sutures by surgeon. A Perclose device broke off in the right common femoral artery, so this was retrieved via cutdown, and a 7 mm x 7.5 cm Viabahn was placed for hemostasis. A crossover technique was used for this. Hemostasis obtained in the left common femoral artery using a Perclose device." Both physicians are billing 33363-62. What can be billed for the retrieval of the Perclose and the placement of the stent for hemostasis?
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