2025 CPT code 33978

Removal of a biventricular extracorporeal ventricular assist device (VAD).

Report this code when removing a biventricular extracorporeal VAD. Do not report it if the removal is part of a replacement procedure using a new device.

Modifiers may be applicable to indicate specific circumstances, such as distinct procedural services (modifier 59).

Medical necessity is established when the VAD is no longer required for patient survival or when it is being replaced or upgraded due to malfunction or as a bridge to transplant.

The surgeon performs the procedure after the patient is prepared and anesthetized. This includes opening the chest, initiating cardiopulmonary bypass if needed, and removing the VAD components. The surgeon also manages post-operative care.

In simple words: The doctor removes a heart-pumping machine (called a VAD) that was placed outside the patient's body to help both sides of their heart pump blood.This is done when the patient's heart is strong enough or they are getting a heart transplant.

This procedure involves the removal of a previously placed extracorporeal ventricular assist device (VAD) that supports both ventricles of the heart.The VAD is located outside the body. The procedure involves opening the chest, potentially utilizing cardiopulmonary bypass, and carefully removing the device along with its cannulas.The incisions are then closed, and the patient is stabilized.

Example 1: A patient with severe heart failure who was stabilized with an extracorporeal biventricular VAD is now ready for heart transplantation and requires VAD removal., A patient's heart has recovered sufficiently after using an extracorporeal biventricular VAD, allowing for its removal., A patient experiences complications with their extracorporeal biventricular VAD, necessitating its removal.

Documentation should include the original reason for VAD placement, the patient's condition leading up to removal, operative details of the removal procedure, and any complications encountered.

  • Revenue Code: P2F
  • Payment Status: Active
  • Specialties:Cardiothoracic Surgery, Cardiac Surgery
  • Place of Service:Inpatient Hospital
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