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TAVR converted to open AVR

Date: Jul 7, 2021

Question:

Patient had a TAVR via femoral access (33361-62). Complications arose during the same session, and it was converted to open procedure. The newly placed valve was removed, and a 21 mm Edwards bioprosthetic aortic valve was placed (via sternotomy)(33405). Should both codes be billed? And, if so, should a modifier be appended to 33361 (maybe -53)? Or should 33405 be reported alone perhaps with a -22 modifier?

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