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TAVR

Date: Feb 16, 2022

Question:

I have a patient who came in for a TAVR. Patient the next day developed intermittent complete heart block and received dual chamber pacemaker. It was then noticed that the deployed valve had burned about 90 degrees. Pacemaker was placed. Cardiothoracic surgical team was notified. Patient was taken back to surgery after echo confirmed malposition of valve. Sternotomy was done, patient was placed on bypass, aortic valve was removed and replaced with new aortic valve, and the procedure was closed in standard fashion. Would code 33405 with modifier -22 be the best code for this procedure? If not, what should I report?

Question ID : 16542
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