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Open MVR 33430 or TMVR 0484T

Date: Oct 17, 2023

Question:

Redo sternotomy; Cutdown of Femoral for cannulation for cardiopulmonary bypass; Extensive adhesiolysis; Inferior approach to the mitral valve with radical mitral valve debridement and preservation of the posterior mitral annulus; Mitral valve replacement (TRANSCATHETER SAPIENT 3 ULTRA 26MM

I'm confused because the surgeon describes performing a sternotomy (not a mini-thoracotomy) w/extensive lysis of adhesions. He also excises anterior leaflet and resects posterior leaflet partially. He uses a 26 Sapien balloon inflated w/saline to assess the size. He goes on to talk about using a balloon to size the annulus and selects the Sapien 3 ultra valve. Under direct vision the crimped valve was advanced antegrade through the mitral annulus. Then the balloon was deflated and deployed uneventfully. Would the 0484T, 33368 be reported? Or 33430 with 33530? Maybe the confusion is the procedure performed states TMVR Sapien, but in actuality this was open. I would appreciate any help?

Question ID : 19527
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