CPT code 33902 is used for a procedure involving the removal of a single abnormal parathyroid gland through a percutaneous approach.
CPT code 33902 is used to describe a percutaneous procedure involving the revision of a pulmonary artery shunt or conduit. This specific code is applicable when the procedure is performed to address an abnormality in a single, unilateral pulmonary artery. The process involves accessing the pulmonary artery through the skin, typically using imaging guidance, to make necessary adjustments or repairs to the shunt or conduit, ensuring proper blood flow and function. This code is crucial for accurate billing and documentation in healthcare settings, ensuring that providers are reimbursed appropriately for the specialized care delivered.
For CPT code 33902, which involves a percutaneous procedure, 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 complications or other factors that increase the complexity of the procedure.
2. Modifier 50 - Bilateral Procedure: If the procedure is performed on both sides of the body, this modifier is used to indicate that the procedure was performed bilaterally.
3. Modifier 51 - Multiple Procedures: When multiple procedures are performed during the same session, this modifier is used to indicate that more than one procedure was performed.
4. Modifier 52 - Reduced Services: This modifier is used when a service or procedure is partially reduced or eliminated at the physician's discretion.
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 76 - Repeat Procedure by Same Physician: If the same procedure is repeated by the same physician, this modifier is used to indicate that the procedure was repeated.
7. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when the procedure is repeated by a different physician.
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 a patient returns 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 is unrelated to the original procedure.
10. Modifier 80 - Assistant Surgeon: This modifier is used when an assistant surgeon is required for the procedure.
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 surgeon is not available.
13. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: If applicable, this modifier is used when a laboratory test is repeated on the same day to obtain subsequent results.
Each of these modifiers serves a specific purpose and should be used according to the specific circumstances of the procedure performed. Proper use of modifiers is crucial for accurate billing and reimbursement.
The CPT code 33902 is subject to reimbursement considerations under Medicare, but whether it is reimbursed depends on several factors. The Medicare Physician Fee Schedule (MPFS) is a critical resource for determining if a specific CPT code, such as 33902, is covered and at what rate. The MPFS outlines the payment rates for services provided by physicians and other healthcare professionals to Medicare beneficiaries.
Additionally, Medicare Administrative Contractors (MACs) play a significant role in the reimbursement process. MACs are responsible for processing Medicare claims and have the authority to make coverage determinations for specific services within their jurisdictions. They may issue Local Coverage Determinations (LCDs) that provide guidance on whether a particular service, like the one associated with CPT code 33902, is reimbursable based on medical necessity and other criteria.
Therefore, to determine if CPT code 33902 is reimbursed by Medicare, healthcare providers should consult the MPFS for the national payment rate and check with their respective MAC for any local coverage policies that might affect reimbursement.
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