2025 CPT code 33992
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Surgery Feed
Removal of a percutaneous left heart ventricular assist device (VAD), including arterial or arterial and venous cannula(s), performed at a separate session from insertion.
Modifiers may apply. Check current guidelines.
Medical necessity for removal is determined by the patient's clinical condition, such as improved heart function or successful heart transplantation, and is at the discretion of the treating physician.
The physician is responsible for the complete removal of the percutaneous VAD and cannula(s), ensuring hemostasis and appropriate wound care. This includes preoperative evaluation, intraoperative management, and postoperative care.
In simple words: The doctor removes a temporary heart pump (called a VAD) that was inserted through the skin into the left side of the heart. This procedure is done in a separate operation from when the pump was put in, usually after the patient's heart has recovered enough or they've received a new heart or a heart transplant.
This code describes the removal of a percutaneous left heart ventricular assist device (VAD) and its associated cannula(s) (arterial or both arterial and venous) during a separate and distinct operative session from the initial insertion procedure. This typically occurs after the VAD has served its purpose, such as stabilizing the patient's condition, bridging to transplantation or implantation of a total artificial heart, or when the device is no longer clinically necessary.
Example 1: A patient with acute heart failure requiring temporary support receives a percutaneous VAD. After stabilization, the device is removed in a separate procedure., A patient undergoing high-risk percutaneous coronary intervention requires temporary hemodynamic support with a percutaneous VAD. The device is removed after the procedure in a separate session., A patient awaiting heart transplantation requires temporary hemodynamic support. A percutaneous VAD is inserted and later removed in a separate session before transplantation.
Documentation should include the medical necessity for the VAD insertion and its subsequent removal, operative details of the removal procedure, including cannula type and location, any complications, and post-removal patient status. Any imaging guidance used during the removal should also be documented.
** As of December 1st, 2024, this information is current. It is essential to refer to the latest CPT coding guidelines and fee schedules for the most up-to-date information. iFrameAI may provide more accurate real-time data for complex coding scenarios.
- RVU: Refer to current year's Physician Fee Schedule
- Global Days: Refer to current year's Physician Fee Schedule for global days.
- Payment Status: Active
- Specialties:Cardiothoracic Surgery, Interventional Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center