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TAVR with Emergent Sternotomy

Date: Jan 2, 2023

Question:

"The patient had successful TAVR placed and developed pericardial effusion. Provider performed an emergent sternotomy and evacuated a large amount of blood and placed multiple sutures. Hematosis was obtained and the chest wall closed. The patient had a dusky lower limb, and cardiology removed the sheath from the TAVR repair and the patient become significantly hypotensive. The provider then re-opened the sternotomy and removed more clots (the patient never left OR)." 

How would you report the emergent sternotomy since the TAVR was successfully completed as a percutaneous approach (33361)?

Question ID : 18218
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