2025 CPT code 33845
Effective Date: N/A Surgery > Surgical Procedures on the Cardiovascular System Feed
Excision of coarctation of the aorta, with or without associated patent ductus arteriosus; with graft.
Medical necessity for this procedure is established by the presence of significant coarctation of the aorta causing hemodynamic compromise. This may be evidenced by high blood pressure, reduced blood flow to the lower body, or other symptoms. The presence of a patent ductus arteriosus contributing to the problem further supports the need for surgical intervention.
The surgeon performs a thoracotomy, carefully dissects the aorta and any patent ductus arteriosus, removes the narrowed section of the aorta, and then uses a tissue graft to reconstruct the aorta, restoring normal blood flow. This requires expertise in cardiovascular surgery and precise surgical technique.
In simple words: This surgery corrects a narrowing in the main artery coming from the heart (aorta), sometimes with a persistent fetal blood vessel (patent ductus arteriosus). The surgeon removes the narrowed part and uses a patch of tissue to rebuild the artery, ensuring normal blood flow.
This procedure addresses coarctation of the aorta, a congenital narrowing, with or without a patent ductus arteriosus.It involves excising the narrowed aortic segment and reconstructing the aorta using a tissue graft.If a patent ductus arteriosus is present, it is ligated and divided.The procedure requires a thoracotomy for access, meticulous dissection around major vessels, and precise placement of the graft to ensure proper blood flow.
Example 1: A newborn is diagnosed with severe coarctation of the aorta and requires surgical intervention to relieve the obstruction., An infant with a patent ductus arteriosus and coarctation undergoes this procedure to address both conditions simultaneously., An older child with undiagnosed coarctation experiences symptoms like high blood pressure and requires this surgery for correction.
Documentation should include operative reports detailing the surgical approach, the extent of the coarctation and any associated defects, the type of graft used, and any intraoperative or postoperative complications. Preoperative imaging studies and diagnostic reports confirming the diagnosis are also necessary.
** As of December 1, 2024, this information is current.However, medical coding and billing regulations can change, so it's crucial to refer to the latest CPT manuals and payer guidelines for the most up-to-date information.The information provided here should not substitute professional medical coding advice.For complex cases or uncertainty, consult with experienced medical coders and billing specialists or consider using specialized coding software like iFrameAI.
- Specialties:Cardiothoracic Surgery, Pediatric Cardiology, Vascular Surgery
- Place of Service:Inpatient Hospital