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TAVR Intraoperative LV perforation

Date: Jun 21, 2021

Question:

Patient was undergoing transcarotid TAVR, which will be billed with unlisted CPT 33999. Intraoperatively, there was an LV apical perforation requiring emergent sternotomy and primary repair with pledgeted sutures and then a superimposed patch with Dermabond impregnated valve bovine pericardial patch overlay. Is the sternotomy with LV repair separately reportable?

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