CPT CODES

CPT Code 33514

CPT code 33514 is used for a coronary artery bypass graft procedure involving five veins, aiding in accurate medical procedure documentation.

Table of Contents
What is CPT Code 33514
Does CPT 33514 Need a Modifier?
CPT Code 33514 Medicare Reimbursement
Are You Being Underpaid for 33514 CPT Code?
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What is CPT Code 33514

CPT code 33514 is used to describe a coronary artery bypass graft (CABG) procedure where five venous grafts are utilized. This code is specifically for cases where veins are harvested and used to bypass blocked or narrowed coronary arteries, improving blood flow to the heart muscle. The procedure involves taking veins, often from the patient's leg, and grafting them onto the coronary arteries to create new pathways for blood to reach the heart tissue. This code is essential for accurate billing and documentation of the surgical procedure involving five vein grafts.

Does CPT 33514 Need a Modifier?

For CPT code 33514, which pertains to coronary artery bypass grafting (CABG) using vein grafts for five coronary arteries, the following modifiers may be applicable:

1. Modifier 22 - Increased Procedural Services: This modifier is used when the work required to perform the procedure is substantially greater than typically required. This could be due to factors such as increased complexity or time.

2. Modifier 51 - Multiple Procedures: This modifier is applicable when multiple procedures are performed during the same surgical session. It indicates that the CABG procedure was one of several performed.

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 the CABG is performed in conjunction with other procedures that are not typically reported together.

4. Modifier 62 - Two Surgeons: This modifier is used when two surgeons work together as primary surgeons performing distinct parts of a procedure. It may be applicable if the CABG procedure requires the expertise of two surgeons.

5. Modifier 66 - Surgical Team: This modifier is used when a complex procedure requires the services of a surgical team. It may be applicable if the CABG procedure is particularly complex and requires multiple specialists.

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 if the patient needs to return to the operating room for a related procedure during the postoperative period of the CABG.

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 CABG.

These modifiers help provide additional information about the circumstances under which the CABG procedure was performed, ensuring accurate billing and reimbursement. It's important to review payer-specific guidelines as they may have specific requirements for the use of these modifiers.

CPT Code 33514 Medicare Reimbursement

The CPT code 33514 is included in the Medicare Physician Fee Schedule (MPFS), which means it is eligible for reimbursement by Medicare. However, the actual reimbursement may vary based on several factors, including geographic location and specific contractual agreements.

Medicare Administrative Contractors (MACs) play a crucial role in determining the reimbursement rates for services covered under the MPFS. They are responsible for processing claims and ensuring that payments align with Medicare guidelines.

Therefore, while CPT code 33514 is reimbursable by Medicare, healthcare providers should consult their local MAC for precise reimbursement details and any specific coverage criteria that may apply.

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