CPT code 33881 is used for endovascular thoracic aortic aneurysm repair without subclavian artery involvement.
CPT code 33881 is used to describe an endovascular repair of a thoracic aortic aneurysm (TAA) without the use of a subclavian artery bypass or transposition. This procedure involves the placement of a stent graft within the thoracic aorta to reinforce the weakened section of the artery, thereby preventing rupture. The code specifically indicates that the repair is performed without the need to reroute or reposition the subclavian artery, which is sometimes necessary in more complex cases. This minimally invasive approach is typically chosen to reduce recovery time and minimize surgical risks compared to open surgical repair.
For CPT code 33881, which pertains to endovascular procedures, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Use this modifier if the procedure required significantly more work than typically required. This could be due to increased complexity or time.
2. Modifier 50 - Bilateral Procedure: If the procedure is performed on both sides of the body, this modifier should be used to indicate that it was a bilateral procedure.
3. Modifier 51 - Multiple Procedures: When multiple procedures are performed during the same surgical session, this modifier is used to indicate that more than one procedure was carried out.
4. Modifier 52 - Reduced Services: If the procedure was partially reduced or eliminated at the physician's discretion, this modifier should be applied.
5. 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.
6. Modifier 62 - Two Surgeons: If two surgeons are required to perform the procedure, this modifier indicates that each surgeon performed a distinct part of the procedure.
7. Modifier 66 - Surgical Team: When a team of surgeons is necessary to perform the procedure, this modifier is used to reflect the collaborative effort.
8. Modifier 76 - Repeat Procedure by Same Physician: If the same physician repeats the procedure on the same day, this modifier is used to indicate the repetition.
9. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when a different physician repeats the procedure on the same day.
10. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Use this modifier if the patient needs to return to the operating room for a related procedure during the postoperative period.
11. 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.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement. Always verify payer-specific guidelines, as modifier usage can vary.
CPT code 33881 is subject to reimbursement considerations under Medicare, but whether it is reimbursed depends on several factors, including its inclusion in the Medicare Physician Fee Schedule (MPFS) and the policies of the specific Medicare Administrative Contractor (MAC) that processes claims in your region.
The MPFS provides a comprehensive list of services covered by Medicare and their respective reimbursement rates, which are updated annually. However, coverage can vary based on local coverage determinations (LCDs) made by MACs, which take into account regional medical practices and needs.
Therefore, to determine if CPT code 33881 is reimbursed by Medicare, healthcare providers should consult the latest MPFS and check with their local MAC for any specific coverage guidelines or restrictions.
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 33881, 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
