2025 CPT code 33968

Removal of a percutaneously inserted intra-aortic balloon pump.

Follow CPT guidelines for cardiovascular system procedures.Accurate documentation is crucial for proper code assignment and reimbursement.

Modifiers 59 (distinct procedural service), 76 (repeat procedure by same physician), may be applicable depending on the circumstances of the removal.

IABP removal is medically necessary when the patient's hemodynamic stability improves and the need for circulatory support is no longer present.Documentation must support the medical necessity.

The physician's responsibility includes weaning the patient from the IABP, removing the device, controlling hemostasis, and monitoring the patient for complications such as bleeding or hematoma formation at the insertion site.

IMPORTANT May be reported with 33967 (Insertion of intra-aortic balloon assist device, percutaneous) on the same day, but not separately if removal occurs during the same session as insertion. Modifier 59 may be appended if removal occurs in a distinct session on the same day as insertion. Modifier 76 is used for repeat procedure by same physician.

In simple words: The doctor removes a balloon pump that was inserted into an artery in the leg. This helps support the heart. After removing the pump, the doctor applies pressure to stop any bleeding and watches for problems.

This CPT code represents the removal of a percutaneously placed intra-aortic balloon pump (IABP).The procedure involves weaning the patient off the device, discontinuing balloon pumping, removing sutures, applying manual pressure to the femoral artery, withdrawing the catheter, and managing hemostasis. Post-procedure monitoring for bleeding or hematoma formation at the insertion site is crucial.

Example 1: A patient presents post-cardiac surgery requiring IABP support.After hemodynamic stabilization, the IABP is removed percutaneously using code 33968.Close monitoring for bleeding is essential., A patient experiences cardiogenic shock and an IABP is inserted percutaneously. Following stabilization, the IABP is removed using code 33968. Documentation should include details on the removal and post-procedural assessment., During a cardiac catheterization, an IABP is placed percutaneously. The IABP is later removed on the same day in a separate procedure using code 33968, with modifier 59 to indicate distinct procedural service.Detailed documentation is required to support separate billing.

* Pre-procedure assessment of the patient's hemodynamic status.* Procedure notes detailing the removal technique, including hemostasis management.* Post-procedure assessment including vital signs, bleeding, and signs of hematoma.* Medical record indicating the necessity of IABP removal.

** Removal of IABP is a time-sensitive procedure requiring skilled intervention.Any complications during the procedure should be documented comprehensively.

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