2025 CPT code 33824
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiovascular Surgery - Repair Procedures for Aortic Anomalies Surgery Feed
Surgical repair of a patent ductus arteriosus (PDA) by division in patients 18 years and older.
Modifiers may be appropriate depending on the circumstances of the procedure.Examples include modifier 22 (increased procedural services), 51 (multiple procedures), 59 (distinct procedural service), and others.Always consult the CPT manual and payer-specific guidelines.
Medical necessity for surgical repair of PDA depends on the size of the shunt, presence of symptoms (such as shortness of breath, fatigue, or heart failure), and potential for long-term complications.It may be considered medically necessary to prevent or treat symptoms and improve the patient's quality of life.
The cardiac surgeon is responsible for all aspects of this procedure, including preoperative assessment, surgical intervention, and postoperative care.Anesthesiologists, perfusionists, and other members of the surgical team also have specific roles in the procedure.
In simple words: This code describes a heart surgery to close an abnormal opening between two major blood vessels near the heart.The surgeon makes an incision, divides the abnormal opening, and stitches it closed. This is done for adults 18 and older.
This CPT code, 33824, represents the surgical repair of a patent ductus arteriosus (PDA) in patients aged 18 years or older.The procedure involves a sternotomy or thoracotomy approach to access the heart. The surgeon identifies the PDA, an abnormal connection between the pulmonary artery and the aorta. The ductus is then incised and divided, and the resulting stumps are meticulously oversewn (sutured) to close the opening. The incision is closed with sutures, and chest tubes or drainage tubes may be placed. This is a complex cardiac surgical procedure requiring specialized skills and equipment.
Example 1: A 25-year-old patient presents with symptoms consistent with a PDA, including a continuous murmur and shortness of breath.Cardiac catheterization confirms the diagnosis, and surgical repair (CPT 33824) is recommended., A 30-year-old patient with a history of congenital heart defect requiring prior cardiac surgery has a persistent PDA.Surgical intervention (CPT 33824) is necessary to correct this condition., A 40-year-old patient experiencing progressive shortness of breath and exertional fatigue undergoes cardiac evaluation. Echocardiogram reveals a large PDA.Elective surgical repair (CPT 33824) is scheduled.
* Preoperative assessment including patient history, physical examination, and diagnostic imaging (echocardiogram, cardiac catheterization)* Operative report detailing the surgical approach, technique, and findings.* Postoperative course including vital signs, medications, and complications.* Pathology report (if applicable)
** This procedure is typically performed under general anesthesia.Postoperative monitoring and management are crucial for a successful outcome.Always ensure accurate documentation to support billing.
- Revenue Code: P2F (Major Procedure, Cardiovascular - Other)
- RVU: The relative value units (RVUs) for this code will vary depending on geographic location, facility type (inpatient or outpatient), and other factors.Consult the appropriate fee schedule for current values.
- Global Days: The global surgical period for this procedure is typically 90 days.This includes preoperative, intraoperative, and postoperative care. Specific details may vary depending on payer.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier does not typically apply to this code.This is a complete surgical procedure, not separately billable components.
- Fee Schedule: Historical fee schedules are not included here as they vary significantly by payer, location, and year.Consult appropriate fee schedules for specific historical data.
- Specialties:Cardiothoracic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center