How To Use CPT Code 33976

CPT 33976 describes the insertion of a ventricular assist device (VAD) in a patient’s heart. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 33976?

CPT 33976 can be used to describe the insertion of a ventricular assist device (VAD) in a patient’s heart. This procedure is performed in patients who have weak hearts or heart failure. The code is applicable to both ventricles of the heart.

2. Official Description

The official description of CPT code 33976 is the insertion of a ventricular assist device (VAD) in a patient’s heart. This code is applicable to both ventricles.

3. Procedure

1. The provider creates or reopens a median sternotomy and extends the incision down to the abdomen.
2. A pocket and a tunnel are created in the tissue under the skin.
3. Cardiopulmonary bypass is initiated, which may be done via femoral vessels.
4. A portion of one ventricle is cut out and a ring is attached to it.
5. The inflow cannula of the ventricular assist device (VAD) is attached to the ring.
6. The inflow graft runs from the ventricle through the diaphragm and to the pump.
7. The outflow graft is attached to the aorta and also runs to the pump.
8. The exact tube placement depends on which ventricle is failing.
9. If the patient cannot be weaned from cardiopulmonary bypass, a second VAD may be placed.
10. The patient is gradually removed from cardiopulmonary bypass and the device is placed into the pocket.
11. The incision is closed with sutures.
12. The VAD remains in place until the ventricle improves or the patient receives an artificial heart or a heart transplant.

4. Qualifying circumstances

CPT 33976 is performed in patients who have weak hearts or heart failure and require the insertion of a ventricular assist device (VAD). The procedure is applicable to both ventricles of the heart.

5. When to use CPT code 33976

CPT code 33976 should be used when a provider performs the insertion of a ventricular assist device (VAD) in a patient’s heart. It is important to accurately document the procedure and ensure that it meets the criteria for this specific code.

6. Documentation requirements

To support a claim for CPT 33976, the provider must document the following information:

• Patient’s diagnosis and indication for the insertion of a ventricular assist device (VAD)
• Details of the procedure, including the approach used and any specific techniques employed
• Start and end time of the procedure
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 33976, 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. Review the guidelines provided by the payer to ensure proper billing and reimbursement.

8. Historical information

CPT 33976 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates or changes to the code since its addition. However, it is important to stay updated with any changes or revisions that may occur in the future.

9. Examples

1. A patient with heart failure undergoes the insertion of a ventricular assist device (VAD) in their left ventricle to support their weakened heart.
2. A provider performs the insertion of a ventricular assist device (VAD) in a patient’s right ventricle to assist with their heart failure.
3. A patient with a weak heart receives the insertion of a ventricular assist device (VAD) in both ventricles to improve their cardiac function.
4. A provider performs the insertion of a ventricular assist device (VAD) in a patient’s heart as a bridge to a heart transplant.
5. A patient with end-stage heart failure undergoes the insertion of a ventricular assist device (VAD) to support their failing heart while awaiting a heart transplant.
6. A provider performs the insertion of a ventricular assist device (VAD) in a patient’s heart to provide temporary support during a complex cardiac surgery.
7. A patient with severe cardiomyopathy receives the insertion of a ventricular assist device (VAD) in their left ventricle to improve their heart function.
8. A provider performs the insertion of a ventricular assist device (VAD) in a patient’s right ventricle to assist with their weakened heart due to a congenital heart defect.
9. A patient with advanced heart failure undergoes the insertion of a ventricular assist device (VAD) in both ventricles to provide long-term support.
10. A provider performs the insertion of a ventricular assist device (VAD) in a patient’s heart to stabilize their condition and allow for further medical management.