CPT code 33533 is used for a single coronary artery bypass graft using an arterial conduit, aiding in standardized healthcare service documentation.
CPT code 33533 is used to describe a coronary artery bypass graft (CABG) procedure that involves using an arterial graft to bypass a single coronary artery. This code is specifically for cases where the surgeon uses an artery, such as the internal mammary artery, to create a new route for blood to flow around a blocked or narrowed coronary artery, thereby improving blood supply to the heart muscle. This procedure is typically performed to relieve symptoms of coronary artery disease and to reduce the risk of heart attacks.
For CPT code 33533, which pertains to coronary artery bypass grafting (CABG) using arterial 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 patient complexity or unexpected findings during surgery.
2. Modifier 51 - Multiple Procedures: If multiple procedures are performed during the same surgical session, this modifier indicates that 33533 is one of several procedures.
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 33533 is performed in conjunction with other procedures that are not typically reported together.
4. Modifier 62 - Two Surgeons: When two surgeons work together as primary surgeons performing distinct parts of a procedure, this modifier is used to indicate the collaborative effort.
5. Modifier 66 - Surgical Team: If the procedure requires a surgical team due to its complexity, this modifier is used to indicate that multiple professionals were involved.
6. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used if the same procedure is repeated by the same physician on the same day.
7. Modifier 77 - Repeat Procedure by Another Physician: If the procedure is repeated by a different physician on the same day, this modifier is applicable.
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 is used if the patient needs to 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 if an unrelated procedure is performed by the same physician during the postoperative period of the initial procedure.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
CPT code 33533 is generally reimbursed by Medicare, as it pertains to a procedure that is typically covered under the Medicare program. The reimbursement for this code is determined by the Medicare Physician Fee Schedule (MPFS), which outlines the payment rates for services provided to Medicare beneficiaries.
However, the specific reimbursement amount can vary based on geographic location and other factors, as determined by the local Medicare Administrative Contractor (MAC). Each MAC is responsible for processing claims and setting payment policies within their jurisdiction, so it's important for healthcare providers to verify the specific reimbursement details with their respective MAC.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and pinpointing underpayments down to the CPT code level, including specific codes like 33533. With RevFind, gain insights into individual payer discrepancies and ensure you're receiving the full reimbursement you deserve. Schedule a demo today to see how RevFind can 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
