2025 CPT code 33417
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Aortoplasty (gusset) for supravalvular stenosis.
Modifiers may apply depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 59 for distinct procedural service, 62 for two surgeons). Consult the CPT manual for specific modifier usage guidelines.
Medical necessity is established by the presence of significant supravalvular aortic stenosis causing symptoms or hemodynamic compromise.The severity of the stenosis is typically assessed using echocardiography, cardiac catheterization, or other imaging modalities. The procedure is medically necessary to improve blood flow and alleviate symptoms.
The cardiothoracic surgeon is primarily responsible for performing the aortoplasty.This may involve pre-operative planning, surgical execution, and post-operative monitoring. Anesthesiologists and other support staff are involved in the patient's care.
In simple words: This surgery repairs a narrowing of the aorta (the main artery leaving the heart) that's present from birth.The surgeon makes an incision in the aorta and inserts a patch to widen the narrowed area, allowing blood to flow more easily.
Aortoplasty (gusset) is a surgical procedure performed to correct supravalvular aortic stenosis, a congenital narrowing of the aorta above the aortic valve.The procedure involves opening the aorta, typically using an incision, and inserting a Dacron patch (gusset) to widen the constricted area, restoring normal blood flow.The specific surgical technique may vary depending on the extent and location of the stenosis.
Example 1: A 2-year-old infant is diagnosed with severe supravalvular aortic stenosis causing significant symptoms. An aortoplasty is performed to widen the constricted portion of the aorta, improving blood flow., A 10-year-old child presents with moderate supravalvular aortic stenosis.Surgical intervention is recommended due to progressive narrowing and potential for future complications. An aortoplasty with a Dacron patch is performed to widen the aorta., An adult patient presents with symptoms of supravalvular aortic stenosis, identified on echocardiogram.Given the patient's age and the severity of the stenosis, a minimally invasive approach (if feasible) or an aortoplasty is undertaken to improve hemodynamics.
Pre-operative echocardiogram demonstrating supravalvular aortic stenosis. Intraoperative findings detailing the surgical technique and the size of the patch used. Post-operative echocardiogram to confirm improvement in aortic blood flow and assess for any complications.
** The specific technique of aortoplasty may influence the selection of the CPT code.If the procedure involves significant additional complexity or unique aspects, it might require additional coding or documentation.
- Payment Status: Active
- Specialties:Cardiothoracic Surgery, Cardiovascular Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center