2025 CPT code 33840
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Excision of coarctation of the aorta, with or without associated patent ductus arteriosus; with direct anastomosis.
Modifiers may be applicable depending on the specifics of the procedure and any additional services performed.Refer to the CPT manual for appropriate modifier selection.
Medical necessity for this procedure is established by the presence of a clinically significant coarctation of the aorta causing symptoms such as high blood pressure, heart failure, or reduced blood flow to the lower extremities. The severity of symptoms and the potential for long-term complications guide the decision for surgical intervention.The procedure is medically necessary to restore normal blood flow and improve patient outcomes.
The clinical responsibility lies with the cardiovascular surgeon.This involves pre-operative planning, including assessment of the patient's condition and the extent of the coarctation; performing the surgical procedure; and post-operative care, including monitoring the patient's recovery and managing any complications.
In simple words: The surgeon removes a narrowed section of the body's main artery (aorta) and then sews the ends back together. If there's also an abnormal connection between the artery to the lungs and the aorta, that may be fixed too.This is done through an incision in the chest.
This procedure involves the surgical excision of a coarctation (narrowing) of the aorta, the body's main artery.The surgeon removes the constricted section of the aorta and then directly reconnects (anastomoses) the two ends. If a patent ductus arteriosus (PDA), an abnormal connection between the pulmonary artery and the aorta, is present, it may also be repaired during this procedure. The approach typically involves a thoracotomy (surgical incision into the chest wall). Vascular clamps are used to control blood flow during the procedure.The incision is closed with sutures, and chest tubes or drainage tubes may be placed.
Example 1: A newborn infant presents with critical coarctation of the aorta, experiencing significant symptoms due to the narrowing. The patent ductus arteriosus is still open but closing.Surgical repair with direct anastomosis is performed to restore normal blood flow., A 6-year-old child presents with moderate coarctation, showing elevated blood pressure in the upper body and weaker pulses in the lower extremities.Surgical correction with direct anastomosis is performed to alleviate the narrowing and restore balanced circulation., A young adult is diagnosed with a relatively mild coarctation and associated PDA. The patient undergoes surgical repair, including excision of the coarctation and ligation (tying off) of the PDA, using direct anastomosis of the aortic segments.
Preoperative echocardiogram or other imaging studies demonstrating the coarctation; Operative report detailing the surgical technique, including the type of anastomosis performed and any associated procedures; Postoperative echocardiogram or angiography to confirm the success of the repair;Patient's medical history including symptoms and any associated cardiac conditions; Relevant lab results.
** The provided information is based on the available source data and may not encompass all possible clinical scenarios or coding implications. Always refer to the latest CPT and other relevant coding manuals for the most up-to-date information.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: This information requires access to a specific fee schedule and may vary based on location, payer, and other factors.RVUs are not directly provided in the source data.
- Global Days: The global period for this procedure is not specified in the source data.It would depend on the specific payer and their guidelines.
- Payment Status: Active
- Modifier TC rule: This information is not directly provided in the source data and would depend on the specific circumstances of the procedure.
- Fee Schedule: Historical fee schedule information is not available in the source data.Consult relevant fee schedules for historical payment information.
- Specialties:Cardiovascular Surgery, Pediatric Cardiology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center