2025 CPT code 33390
(Active) Effective Date: N/A Revision Date: N/A Surgery - Cardiovascular Surgery Surgery Feed
Valvuloplasty of the aortic valve, open, with cardiopulmonary bypass; simple.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., modifier 51 for multiple procedures, modifier 62 for two surgeons).
The procedure is medically necessary when a patient presents with symptomatic aortic stenosis that significantly impairs cardiac function and quality of life.The severity of stenosis should be documented through echocardiography or other imaging modalities.
The cardiothoracic surgeon is responsible for performing the procedure, including making the incision, establishing cardiopulmonary bypass, repairing the aortic valve, and closing the incision.
In simple words: The doctor makes an incision in the chest to reach the heart's aortic valve.A heart-lung machine keeps the blood flowing while the surgeon repairs the valve, potentially removing scar tissue or repositioning valve flaps. This is a simpler type of aortic valve repair.
This procedure involves an open incision in the chest to access the aortic valve. Cardiopulmonary bypass (CPB) is used to maintain blood circulation while the heart is stopped.The procedure includes valvotomy, debridement, debulking, and/or simple commissural resuspension of the aortic valve leaflets.The complexity of the repair is considered simple, as opposed to complex repairs which may include leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty.The procedure concludes with closure of the incision and weaning from CPB.
Example 1: A 70-year-old patient with severe aortic stenosis undergoes an open aortic valvuloplasty.The surgeon performs a valvotomy, debridement, and simple commissural resuspension. The patient is placed on cardiopulmonary bypass during the procedure., A 65-year-old patient with bicuspid aortic valve and moderate stenosis undergoes aortic valvuloplasty. The surgeon performs valvotomy and debulking of the valve leaflets, with simple commissural resuspension to restore proper valve function. Cardiopulmonary bypass is used., A 55-year-old patient presents with severe aortic stenosis and calcification. The surgeon performs a valvotomy to improve valve leaflet mobility and removes calcified tissue. Simple commissural resuspension is employed. Cardiopulmonary bypass is necessary.
* Preoperative echocardiogram demonstrating aortic stenosis* Operative report detailing the procedure performed* Intraoperative echocardiogram (if performed) showing valve function after repair* Postoperative echocardiogram assessing valve function* Pathology report if tissue is sent for analysis
** This code should only be used for simple valvuloplasties.More complex procedures should be coded with 33391.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Cardiothoracic Surgery
- Place of Service:Inpatient Hospital