CPT code 33141 is used for a heart transmyocardial revascularization procedure performed alongside another surgical intervention.
CPT code 33141 is used to describe a transmyocardial revascularization (TMR) procedure performed on the heart in conjunction with another surgical procedure. TMR is a technique used to improve blood flow to the heart muscle by creating small channels in the heart tissue using a laser. This code is specifically applied when TMR is performed alongside another cardiac procedure, indicating a more complex surgical intervention aimed at enhancing cardiac function and alleviating symptoms of severe angina in patients who are not candidates for traditional revascularization methods like coronary artery bypass grafting (CABG).
For CPT code 33141, which involves a heart transmyocardial revascularization (TMR) performed with another procedure, the following modifiers may be applicable:
1. Modifier 51 - Multiple Procedures: This modifier is used when multiple procedures are performed during the same surgical session. Since CPT code 33141 involves TMR with another procedure, Modifier 51 may be necessary to indicate that more than one procedure was performed.
2. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. If the additional procedure performed with the TMR is distinct and not typically bundled, Modifier 59 may be appropriate.
3. Modifier 62 - Two Surgeons: If two surgeons are required to perform the TMR and the additional procedure, Modifier 62 can be used to indicate that both surgeons had significant roles in the surgery.
4. Modifier 66 - Surgical Team: In cases where a surgical team is necessary due to the complexity of the procedures, Modifier 66 can be applied to indicate that a team of surgeons worked together.
5. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: If the TMR and the additional procedure require a return to the operating room during the postoperative period, Modifier 78 may be used.
6. Modifier 80 - Assistant Surgeon: If an assistant surgeon is required for the TMR and additional procedure, Modifier 80 can be used to indicate the presence of an assistant.
7. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Similar to Modifier 80, but used when a qualified resident surgeon is not available.
These modifiers help provide additional information about the circumstances under which the procedures were performed, ensuring accurate billing and reimbursement. Always consult the latest coding guidelines and payer-specific policies to determine the appropriate use of modifiers.
CPT code 33141 is subject to reimbursement considerations under Medicare, but whether it is reimbursed depends on several factors, including its inclusion in the Medicare Physician Fee Schedule (MPFS) and the specific guidelines set by the Medicare Administrative Contractor (MAC) in your region.
The MPFS provides a comprehensive list of services covered by Medicare, along with their respective reimbursement rates. However, coverage can vary based on local coverage determinations (LCDs) made by MACs, which are responsible for interpreting national policies and setting regional guidelines.
Therefore, to determine if CPT code 33141 is reimbursed by Medicare, healthcare providers should consult the MPFS for the current year and check with their local MAC for any specific coverage criteria or restrictions that may apply.
Discover the power of MD Clarity's RevFind software to ensure you're receiving the full reimbursement you deserve. With RevFind, you can effortlessly read your contracts and detect underpayments down to the CPT code level, including specific codes like 33141, and by individual payer. Schedule a demo today to see how RevFind can enhance your revenue cycle management and optimize your financial outcomes.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
