Ask Dr. Z

"There was redundancy of P2 with ruptured cords. Ruptured cords were excised. The mitral valve was repaired as follows 2 sets of Gore-Tex neo-cords were placed to the P2 segment and the posterior prolapse was reduced and the valve was tested and was competent. There was a small leak between P1 and P2 which was closed with a 4-0 Cardionyl suture in a mattress fashion. Then we placed a 36 mm Cosgrove annuloplasty ring with 2-0 interrupted Tycron sutures and the Cor -knot device. The valve was then tested and it was competent and the cortex Neo-Chord for type II proper left. A folding plasty of the P2 segment was then performed using a 4-0 Cardionyl suture to reduce the height of the posterior leaflet." Would this be coded as 33427 or 0543T? Does 0543T include the ring if used? Or, does the "radical reconstruction" cover the artificial chordae placement?