2025 CPT code 33822
(Active) Effective Date: N/A Revision Date: N/A Surgery - Cardiovascular System Procedures Surgery Feed
Repair of a patent ductus arteriosus in patients under 18 years old by division.
Modifiers may apply based on the specific circumstances of the procedure (e.g., 51 for multiple procedures, 59 for distinct procedural service, or others as deemed appropriate).
Medical necessity for this procedure is established by the presence of a symptomatic PDA causing hemodynamic compromise (e.g., heart failure, pulmonary hypertension, or significant shunting).Documentation must demonstrate the symptoms, diagnostic imaging confirming the diagnosis, and the clinical rationale for surgical intervention.
The cardiac surgeon is responsible for pre-operative assessment, surgical procedure (including sternotomy or thoracotomy, PDA identification, division and closure), post-operative care, and monitoring.
In simple words: This code describes a heart surgery to fix an abnormal opening between two major blood vessels near the heart in children under 18. The surgeon cuts and closes the opening.
This CPT code, 33822, signifies the surgical repair of a patent ductus arteriosus (PDA) through division in patients younger than 18 years.The procedure involves accessing the heart via sternotomy or thoracotomy, identifying the PDA (abnormal connection between the pulmonary artery and aorta), incising and dividing the ductus, and meticulously oversewing (suturing) the divided ends.The incision is then closed, and chest tubes or drainage tubes may be placed. This is a pediatric cardiac surgical procedure.
Example 1: A 6-month-old infant presents with symptoms consistent with a PDA.Echocardiography confirms the diagnosis.The surgeon performs a sternotomy and divides the ductus, then oversews the divided ends. Post-operative care includes monitoring vital signs, chest tube management, and assessment for complications such as bleeding or infection., A 15-year-old adolescent with a history of PDA presents with shortness of breath and exercise intolerance. Cardiac catheterization confirms a persistent PDA.Surgical repair via thoracotomy is undertaken with successful division and closure of the ductus. Post-operative care includes close monitoring for any arrhythmias or cardiac compromise., A premature infant with respiratory distress shows signs of a PDA on echocardiogram.The surgical team performs a less invasive surgical approach to divide and suture the PDA. Post-operative care includes close observation for cardiac function, respiratory support, and management of any potential complications.
Pre-operative echocardiogram confirming the diagnosis of PDA, operative report detailing the surgical approach, intraoperative findings (size and location of PDA), post-operative echocardiogram confirming closure of PDA, pathology report (if applicable), complete anesthesia records, and post-operative progress notes.
** Accurate documentation is crucial for appropriate reimbursement.The code is specifically for patients under 18 years.Always refer to the most current CPT coding guidelines and payer-specific policies for accurate coding and billing.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: This information requires access to a specific fee schedule and varies by payer and location. RVUs are not directly embedded within the code itself.
- Global Days: The global period for this procedure depends on the specific payer's guidelines. It's recommended to consult the payer's specific fee schedule for details.
- Payment Status: Active
- Modifier TC rule: TC modifier (Technical Component) is not applicable to this code as it represents the entire surgical procedure.
- Fee Schedule: Historical fee schedule data is not provided.Consult a reliable fee schedule database for historical reimbursement information.
- Specialties:Cardiothoracic Surgery, Pediatric Cardiology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center