2025 CPT code 33361
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve, percutaneous femoral artery approach.
Modifiers such as 22 (increased procedural services), 52 (reduced services), 53 (discontinued procedure), 59 (distinct procedural services), and 62 (two surgeons) may be applicable depending on the circumstances of the procedure.
Medical necessity is established by documentation of severe, symptomatic aortic stenosis in patients who are appropriate candidates for TAVR based on risk assessment.
The physician accesses the femoral artery via a small incision in the groin, advances the prosthetic valve to the heart through a catheter, positions and deploys the valve, and manages any necessary additional procedures (balloon valvuloplasty, temporary pacemaker) under imaging guidance.
In simple words: This procedure replaces a narrowed aortic valve in the heart without open-heart surgery. A new valve is inserted through a small incision in the leg artery using a thin tube.This allows for a faster recovery than traditional surgery.
This code reports a transcatheter aortic valve replacement (TAVR/TAVI) procedure performed via the femoral artery. It includes percutaneous access, sheath placement, balloon aortic valvuloplasty (if performed), positioning and deployment of the prosthetic valve, temporary pacemaker insertion (33210, if performed), and arteriotomy closure.It also includes imaging guidance, such as angiography, and radiological supervision and interpretation.
Example 1: A patient with severe aortic stenosis and high surgical risk undergoes TAVR via the femoral artery., A patient with a previously replaced aortic valve requires a valve-in-valve procedure through the femoral artery using TAVR, A younger, lower surgical risk individual elects for a minimally invasive TAVR.
Documentation should include details about the patient's aortic stenosis, pre-operative evaluation, procedural details (access site, valve type, any complications), and post-operative assessment.
** TAVR is becoming increasingly common as an alternative to surgical aortic valve replacement, particularly for patients at higher surgical risk.
- Revenue Code: P2F
- Payment Status: Active
- Specialties:Interventional Cardiology, Cardiothoracic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center