CPT code 33517 is used for a procedure involving coronary artery bypass grafting using one artery and one vein.
CPT code 33517 is used to describe a coronary artery bypass graft (CABG) procedure where one artery and one vein are used to bypass blocked coronary arteries. This surgical procedure is performed to improve blood flow to the heart muscle by creating a new route around the blocked or narrowed coronary arteries. The use of both an artery and a vein in this procedure helps ensure that the heart receives an adequate blood supply, which can alleviate symptoms such as chest pain and reduce the risk of heart attacks.
For CPT code 33517, which pertains to coronary artery bypass grafting (CABG) involving both artery and vein grafts, 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 procedure is 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 is often used to bypass National Correct Coding Initiative (NCCI) edits.
4. Modifier 62 (Two Surgeons): This modifier is used when two surgeons work together as primary surgeons performing distinct parts of a procedure. Each surgeon should report their distinct operative work.
5. Modifier 66 (Surgical Team): This modifier is used when a team of surgeons is required to perform a complex procedure. It indicates that the procedure required the skills of more than one surgeon.
6. Modifier 76 (Repeat Procedure by Same Physician): This modifier is used when the same procedure is repeated by the same physician on the same day.
7. Modifier 77 (Repeat Procedure by Another Physician): This modifier is used when the same procedure is repeated by a different physician on the same day.
8. 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 patient requires a return to the operating room for a related procedure during the postoperative period.
9. Modifier 79 (Unrelated Procedure or Service by the Same Physician During the Postoperative Period): This modifier is used when a procedure is performed during the postoperative period of another procedure, but it is unrelated to the original procedure.
10. Modifier 80 (Assistant Surgeon): This modifier is used when an assistant surgeon is required to help with the procedure.
11. Modifier 81 (Minimum Assistant Surgeon): This modifier is used when an assistant surgeon is required for a minimal portion of the procedure.
12. Modifier 82 (Assistant Surgeon (when qualified resident surgeon not available)): This modifier is used when an assistant surgeon is required, and 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.
CPT code 33517 is included in the Medicare Physician Fee Schedule (MPFS), which means it is eligible for reimbursement by Medicare. However, the actual reimbursement can vary based on several factors, including geographic location and specific Medicare Administrative Contractor (MAC) policies.
Each MAC may have its own guidelines and fee schedules that influence the reimbursement rate for CPT code 33517. Therefore, healthcare providers should consult their respective MAC for precise reimbursement details and ensure compliance with any additional local coverage determinations that may apply.
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