CPT code 33800 is used for the procedure of aortic suspension, detailing the specific medical service provided by healthcare professionals.
CPT code 33800 is used to describe the surgical procedure known as aortic suspension. This procedure involves the stabilization or repositioning of the aorta, which is the main artery that carries blood from the heart to the rest of the body. Aortic suspension is typically performed to correct or prevent complications associated with aortic aneurysms or other aortic pathologies. The procedure may involve the use of sutures or other surgical techniques to secure the aorta in a more stable position, thereby reducing the risk of rupture or other serious complications.
For CPT code 33800, which pertains to aortic suspension, the following modifiers may be applicable depending on the specific circumstances of the procedure:
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 the presence of significant patient comorbidities.
2. Modifier 51 - Multiple Procedures: If the aortic suspension is performed in conjunction with other procedures during the same surgical session, this modifier indicates that multiple procedures were performed.
3. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that the procedure is 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: When two surgeons work together as primary surgeons performing distinct parts of the procedure, this modifier is applicable.
5. Modifier 66 - Surgical Team: If the procedure requires a surgical team due to its complexity, this modifier is used to indicate that a team approach was necessary.
6. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used if the same physician needs to repeat the procedure on the same day.
7. Modifier 77 - Repeat Procedure by Another Physician: If another physician repeats the procedure 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 when the 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 the procedure is unrelated to the original surgery and occurs during the postoperative period.
10. Modifier 80 - Assistant Surgeon: If an assistant surgeon is required for the procedure, this modifier is used to indicate their involvement.
11. Modifier 81 - Minimum Assistant Surgeon: This 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 necessary because a qualified resident is not available.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement. It is important to review the specific guidelines and payer policies to determine the appropriate use of each modifier.
CPT code 33800 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 33800 is reimbursed by Medicare depends on its inclusion in the MPFS and the specific guidelines set forth by the Medicare Administrative Contractor (MAC) responsible for the geographic region where the service is provided.
Each MAC has the authority to interpret national Medicare policies and determine local coverage decisions, which can affect the reimbursement status of specific CPT codes like 33800. Providers should consult the MPFS and their respective MAC's guidelines to confirm the reimbursement eligibility and any specific documentation or billing requirements associated with CPT code 33800. Additionally, it is advisable to verify any updates or changes to the MPFS that might impact the reimbursement status of this code.
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 33800, RevFind offers unparalleled precision in identifying discrepancies by individual payer. Schedule a demo today to see how RevFind can enhance your revenue cycle management and secure your financial health.
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
