2025 CPT code 33917
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiovascular Surgery - Surgical Procedures on the Pulmonary Artery Surgery Feed
Repair of pulmonary artery stenosis using a patch or graft.
Modifiers may apply depending on the circumstances of the procedure. Consult the CPT codebook and modifier guidelines for appropriate use.Examples may include modifiers for multiple procedures (51), reduced services (52), or unusual non-overlapping services (XU).
Medical necessity is established by the presence of clinically significant pulmonary artery stenosis causing symptoms such as shortness of breath, chest pain, or cyanosis, or hemodynamic compromise.Imaging studies and cardiac catheterization demonstrate the need for surgical intervention.
The surgeon performs the procedure, including prepping the patient, making the incision, establishing cardiopulmonary bypass if necessary, repairing the stenosis, achieving hemostasis, and closing the incision.
- Surgery
- Surgical Procedures on the Cardiovascular System > Surgical Procedures on the Pulmonary Artery
In simple words: The doctor fixes a narrowed area in a blood vessel (pulmonary artery) that carries blood from the heart to the lungs. They use a patch or piece of tissue to make the vessel wider so blood can flow better.
This procedure involves the surgical repair of a stenosis (narrowing) in the pulmonary artery.The surgeon uses a patch or graft to widen the narrowed area of the artery, restoring normal blood flow.The procedure may involve cardiopulmonary bypass.
Example 1: A 6-month-old infant with congenital pulmonary artery stenosis undergoes this procedure to improve blood flow to the lungs., An adult patient with acquired pulmonary artery stenosis due to pulmonary hypertension undergoes the procedure to alleviate symptoms such as shortness of breath and chest pain., A patient with a complex congenital heart defect including pulmonary artery stenosis undergoes this repair as part of a more extensive surgical correction.
Preoperative and postoperative evaluations, including echocardiograms or other imaging studies to assess the severity of the stenosis, operative report detailing the surgical approach, the type of patch or graft used, and the extent of repair, pathology report if tissue is sent for analysis, and any complications encountered during the procedure or post-operative period.
** The procedure may be performed with or without cardiopulmonary bypass. The choice of approach (e.g., median sternotomy) depends on the patient's anatomy and the surgeon's preference.Accurate documentation is crucial for appropriate reimbursement.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: Information not available in provided source.
- Global Days: Information not available in provided source.
- Payment Status: Active
- Modifier TC rule: Information not available in the provided source.
- Fee Schedule: Information not available in the provided source.
- Specialties:Cardiothoracic Surgery, Cardiac Surgery, Pediatric Cardiology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center