How To Use CPT Code 33464

CPT 33464 describes a specific surgical procedure performed on the tricuspid valve. This article will provide an overview of the code, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and similar codes to CPT 33464.

1. What is CPT Code 33464?

CPT 33464 is a code that represents a surgical procedure performed on the tricuspid valve. This procedure involves repairing the valve and inserting a ring to treat tricuspid regurgitation. It is important to note that this code specifically includes the insertion of a ring, distinguishing it from a similar code, CPT 33463, which does not involve ring insertion.

2. Official Description

The official description of CPT code 33464 is: ‘Valvuloplasty, tricuspid valve; with ring insertion.’

3. Procedure

1. The provider begins by preparing the patient and administering anesthesia.
2. An incision is made in the pericardium, the tissue surrounding the heart, typically through a sternotomy.
3. Cardiopulmonary bypass is established to temporarily take over the function of the heart and lungs.
4. The right atrium is opened, and any debris or infection is removed.
5. The provider may incise or cut into the valve leaflets as needed.
6. The anulus, the ring-shaped structure around the valve, is cleared of any calcification.
7. If necessary, the provider determines the size of the annuloplasty ring and fits it snugly into position, suturing it in place.
8. Once the repair is complete, the incision in the atrium is closed, and the patient is taken off cardiopulmonary bypass.
9. The provider checks for any bleeding and proceeds to close the chest.

4. Qualifying circumstances

CPT 33464 is used when a patient requires valvuloplasty of the tricuspid valve with ring insertion to treat tricuspid regurgitation. This procedure is typically performed on patients who have a dilated anulus causing a leaking valve. It is important to note that the provider must determine the need for this specific procedure based on the patient’s condition and medical history.

5. When to use CPT code 33464

CPT code 33464 should be used when the provider performs valvuloplasty on the tricuspid valve and inserts a ring to correct tricuspid regurgitation. It is important to ensure that the procedure meets the specific criteria outlined in the code description. If the procedure does not involve ring insertion, CPT code 33463 should be used instead.

6. Documentation requirements

To support a claim for CPT 33464, the provider must document the following information:

• Patient’s diagnosis and the need for valvuloplasty with ring insertion
• Details of the procedure, including the size of the annuloplasty ring used
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 33464, it is important to ensure that the procedure meets the specific criteria outlined in the code description. The provider should also consider any additional guidelines provided by payers or regulatory bodies. It is important to note that CPT 33464 should not be reported if CPT codes 33466 to 33468 have already been performed in the previous seven days. Additionally, it is important to distinguish between CPT 33463 and CPT 33464, as they represent different procedures.

8. Historical information

CPT 33464 was added to the Current Procedural Terminology system on January 1, 1994. The code has not undergone any updates since its addition. It is important to consult the most recent coding guidelines and updates to ensure accurate reporting.

9. Examples

1. A patient undergoes valvuloplasty of the tricuspid valve with ring insertion to treat tricuspid regurgitation.
2. A provider performs a repair on the tricuspid valve and inserts a ring to correct a leaking valve.
3. A patient with tricuspid regurgitation undergoes a surgical procedure to repair the valve and insert a ring.
4. A provider performs valvuloplasty on the tricuspid valve with the insertion of a ring to treat a patient’s tricuspid regurgitation.
5. A surgical procedure is performed on the tricuspid valve, involving the repair of the valve and the insertion of a ring to correct tricuspid regurgitation.
6. A patient with tricuspid regurgitation undergoes a surgical procedure to repair the valve and insert a ring for improved valve function.
7. A provider performs valvuloplasty on the tricuspid valve, inserting a ring to treat tricuspid regurgitation in a patient.
8. A patient undergoes a surgical procedure to repair the tricuspid valve and insert a ring to correct tricuspid regurgitation.
9. A provider performs valvuloplasty on the tricuspid valve, including the insertion of a ring, to treat tricuspid regurgitation in a patient.
10. A patient with tricuspid regurgitation undergoes a surgical procedure to repair the valve and insert a ring for improved cardiac function.