CPT code 33289 is used for the procedure involving the implantation of a wireless pulmonary artery pressure sensor.
CPT code 33289 is used to describe the procedure for the implantation of a wireless pulmonary artery pressure sensor. This code is specifically utilized when a healthcare provider implants a device that monitors the pressure within the pulmonary artery without the need for wires. This sensor is typically used in patients with heart failure to help manage and monitor their condition by providing real-time data on pulmonary artery pressure, which can be crucial for adjusting treatment plans and improving patient outcomes.
For CPT code 33289, which involves the implantation of a wireless pulmonary artery pressure sensor, the following modifiers may be applicable:
1. Modifier 26 - Professional Component: This modifier is used when the service provided is the professional component only, such as the interpretation of the results, separate from the technical component.
2. Modifier TC - Technical Component: This modifier is used when the service provided is the technical component only, such as the use of equipment and supplies, separate from the professional component.
3. 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. It may be necessary if multiple procedures are performed that are not typically reported together.
4. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when the same procedure is repeated by the same physician or other qualified healthcare professional subsequent to the original procedure.
5. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when the same procedure is repeated by a different physician or other qualified healthcare professional subsequent to the original procedure.
6. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This modifier is used when a related procedure is performed during the postoperative period of the initial procedure.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is used when an unrelated procedure is performed by the same physician during the postoperative period of the initial procedure.
8. Modifier 80 - Assistant Surgeon: This modifier is used when an assistant surgeon is required for the procedure.
9. Modifier 81 - Minimum Assistant Surgeon: This modifier is used when an assistant surgeon is required for a minimal portion of the procedure.
10. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): This modifier is used when an assistant surgeon is required because a qualified resident surgeon is not available.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement. Always verify with current payer policies and guidelines, as modifier usage can vary.
CPT code 33289 is subject to reimbursement considerations under Medicare, specifically through the Medicare Physician Fee Schedule (MPFS). The MPFS is a comprehensive listing of fees used by Medicare to reimburse physicians and other healthcare providers for services rendered. Whether CPT code 33289 is reimbursed by Medicare depends on several factors, including its inclusion in the MPFS and the specific guidelines set forth by the Medicare Administrative Contractor (MAC) in your region.
MACs are private organizations contracted by Medicare to process claims and determine coverage specifics, including the reimbursement rates for various CPT codes. They have the authority to make decisions based on local coverage determinations (LCDs) and national coverage determinations (NCDs), which can affect whether a particular service is reimbursed.
To determine if CPT code 33289 is reimbursed by Medicare, healthcare providers should consult the MPFS for the current year and check with their regional MAC for any specific coverage policies or requirements. This ensures that providers are aware of any documentation, coding, or billing nuances that may impact reimbursement.
Discover the power of MD Clarity's RevFind software to ensure you're receiving the full reimbursement you deserve. With the ability to read your contracts and detect underpayments down to the CPT code level, including specific codes like 33289, RevFind provides unparalleled accuracy and insight. Schedule a demo today to see how RevFind can help you identify discrepancies by individual payer and optimize your revenue cycle management.
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
