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Two Tandem Heart Implants in One Patient

Date: Dec 16, 2013

Question:

Bilat common femoral artery & common femoral vein cannulations Selective right iliofemoral Angio Intracardiac echocardiography (ICE) guided interatrial transseptal puncture. TandemHeart left ventricular assist device (LVAD), left atrial sump, right common femoral artery outflow. TandernHeart right ventricular assist device (RVAD), right superior vena cava (SVC)/right atrial sump, main pulmonary artery outflow. Replacement of a defunct pulmonary artery catheter. Report is to long to fit...Using the 2nd left common femoral vein access site, a 2nd 21-French venous catheter was advanced to the level of the SVC/right atrium. This venous catheter was clamped and secured at the groin using suture. The cannulae were further secured using 4 Hollister patches, and the 2 TandemHearts were secured in saddles on the right and left lower extremities. Finally, the malfunctioning PA catheter was removed and a new PA catheter was advanced under sterile conditions using fluoroscopic guidance.Not sure how to code this. I came up with 33991, 33991-59 & 93503? Correct?

Question ID : 5258
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