How To Use CPT Code 33414

CPT 33414 describes the procedure for repairing a left ventricular outflow tract obstruction by enlarging the outflow tract using a patch. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 33414?

CPT 33414 is used to describe a surgical procedure that involves the repair of a left ventricular outflow tract obstruction. During this procedure, a patch is used to enlarge the outflow tract, allowing for improved blood flow.

2. Official Description

The official description of CPT code 33414 is: ‘Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract.’

3. Procedure

1. The patient is prepped and anesthetized.
2. The healthcare provider opens the chest, typically through a sternotomy, and opens the pericardium.
3. A portion of the pericardium is removed to be used as a patch.
4. The provider opens the ascending aorta above the aortic valve and removes the left ventricular septal tissue.
5. The left ventricular outflow tract is enlarged using the patch.
6. The provider incises the right ventricle and then incises the septum.
7. The patch is placed on the created septal defect and another patch is placed on the right ventricular incision.
8. The provider closes the chest incision.

4. Qualifying circumstances

CPT 33414 is used when a patient has a left ventricular outflow tract obstruction that requires surgical repair. This procedure is typically performed by a healthcare provider who specializes in cardiac surgery. The patient must meet the criteria for this specific procedure, and the use of a patch to enlarge the outflow tract is necessary for the repair.

5. When to use CPT code 33414

CPT code 33414 should be used when a healthcare provider performs a surgical repair of a left ventricular outflow tract obstruction by enlarging the outflow tract using a patch. This code is specific to this procedure and should not be used for other types of repairs or interventions.

6. Documentation requirements

To support a claim for CPT 33414, the healthcare provider must document the following information:

• Patient’s diagnosis of left ventricular outflow tract obstruction
• Details of the procedure, including the use of a patch to enlarge the outflow tract
• Date of the procedure
• Start and end time of the procedure
• Any additional relevant information or complications encountered during the procedure
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 33414, ensure that the procedure meets the criteria for this specific code. It is important to accurately document the details of the procedure and any additional services provided. CPT code 33414 should not be reported with other codes unless there are separate and distinct procedures performed during the same operative session.

8. Historical information

CPT 33414 was added to the Current Procedural Terminology system on January 1, 1994. In 2017, it was added to the Inpatient Only (IPO) list for Medicare reimbursement.

9. Examples

1. A cardiac surgeon performs a repair of a left ventricular outflow tract obstruction using a patch to enlarge the outflow tract.
2. A patient with a left ventricular outflow tract obstruction undergoes surgery, during which a patch is used to repair the obstruction and improve blood flow.
3. A healthcare provider performs a procedure to enlarge the left ventricular outflow tract using a patch, effectively treating the obstruction.
4. A surgical team successfully repairs a left ventricular outflow tract obstruction by utilizing a patch to enlarge the outflow tract.
5. A patient with a left ventricular outflow tract obstruction undergoes a surgical procedure in which a patch is used to repair the obstruction and restore normal blood flow.
6. A cardiac surgeon performs a complex repair of a left ventricular outflow tract obstruction, utilizing a patch to enlarge the outflow tract and improve cardiac function.
7. A patient with a left ventricular outflow tract obstruction undergoes a surgical intervention, during which a patch is used to repair the obstruction and optimize blood flow.
8. A healthcare provider successfully repairs a left ventricular outflow tract obstruction by utilizing a patch to enlarge the outflow tract, resulting in improved cardiac function.
9. A surgical team performs a procedure to repair a left ventricular outflow tract obstruction, utilizing a patch to enlarge the outflow tract and restore normal blood flow.
10. A patient with a left ventricular outflow tract obstruction undergoes surgery, during which a patch is used to repair the obstruction and improve overall cardiac function.