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Medicare IP Only List 2019

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Medicare IP Only List 2019 Page 1 of 30 Medicare IP Only List 2019 Cardiovascular System CPT/ HCPCS Short Description Long Description Removed from IP only list Added to IP only list 33015 Incision of heart sac Tube pericardiostomy 33020 Incision of heart sac Pericardiotomy for removal of clot or foreign body (primary procedure) 33025 Incision of heart sac Creation of pericardial window or partial resection for drainage 33030 Partial removal of heart sac Pericardiectomy, subtotal or complete; without cardiopulmonary bypass 33031 Partial removal of heart sac Pericardiectomy, subtotal or complete; with cardiopulmonary bypass 33050 Resect of heart sac lesion Excision of pericardial cyst or tumor 33120 Removal of heart lesion Excision of intracardiac tumor, resection with cardiopulmonary bypass 33130 Removal of heart lesion Resection of external cardiac tumor Transmyocardial laser revascularization, by thoracotomy; (separate 33140 Heart revascularize (tmr) procedure) Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to 33141 Heart tmr w/other procedure code for primary procedure) Insertion of epicardial electrode(s); open incision (eg, thoracotomy, 33202 Insert epicard eltrd open median sternotomy, subxiphoid approach) Insertion of epicardial electrode(s); endoscopic approach (eg, 33203 Insert epicard eltrd endo thoracoscopy, pericardioscopy) Removal of permanent epicardial pacemaker and electrodes by 33236 Remove electrode/thoracotomy thoracotomy; single lead system, atrial or ventricular Removal of permanent epicardial pacemaker and electrodes by 33237 Remove electrode/thoracotomy thoracotomy; dual lead system 33238 Remove electrode/thoracotomy Removal of permanent transvenous electrode(s) by thoracotomy Removal of single or dual chamber pacing cardioverter-defibrillator 33243 Remove eltrd/thoracotomy electrode(s); by thoracotomy Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) 33250 Ablate heart dysrhythm focus and/or focus (foci); without cardiopulmonary bypass Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) 33251 Ablate heart dysrhythm focus and/or focus (foci); with cardiopulmonary bypass Operative tissue ablation and reconstruction of atria, limited (eg, 33254 Ablate atria lmtd modified maze procedure) Operative tissue ablation and reconstruction of atria, extensive (eg, 33255 Ablate atria w/o bypass ext maze procedure); without cardiopulmonary bypass Page 2 of 30 CPT/ HCPCS Short Description Long Description Operative tissue ablation and reconstruction of atria, extensive (eg, 33256 Ablate atria w/bypass exten maze procedure); with cardiopulmonary bypass Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg, modified maze 33257 Ablate atria lmtd add-on procedure) (list separately in addition to code for primary procedure) Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (list separately in addition to code for 33258 Ablate atria x10sv add-on primary procedure) Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (list separately in addition to code for primary 33259 Ablate atria w/bypass add-on procedure) Operative ablation of ventricular arrhythmogenic focus with 33261 Ablate heart dysrhythm focus cardiopulmonary bypass Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary 33265 Ablate atria lmtd endo bypass Endoscopy, surgical; operative tissue ablation and reconstruction of 33266 Ablate atria x 10sv endo atria, extensive (eg, maze procedure), without cardiopulmonary bypass 33300 Repair of heart wound Repair of cardiac wound; without bypass 33305 Repair of heart wound Repair of cardiac wound; with cardiopulmonary bypass Cardiotomy, exploratory (includes removal of foreign body, atrial or 33310 Exploratory heart surgery ventricular thrombus); without bypass Cardiotomy, exploratory (includes removal of foreign body, atrial or 33315 Exploratory heart surgery ventricular thrombus); with cardiopulmonary bypass Suture repair of aorta or great vessels; without shunt or cardiopulmonary 33320 Repair major blood vessel(s) bypass 33321 Repair major vessel Suture repair of aorta or great vessels; with shunt bypass 33322 Repair major blood vessel(s) Suture repair of aorta or great vessels; with cardiopulmonary bypass Insertion of graft, aorta or great vessels; without shunt, or 33330 Insert major vessel graft cardiopulmonary bypass 33335 Insert major vessel graft Insertion of graft, aorta or great vessels; with cardiopulmonary bypass Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and 33340 Perq clsr tcat l atr apndge interpretation Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic 33361 Replace aortic valve perq valve; percutaneous femoral artery approach Page 3 of 30 CPT/ HCPCS Short Description Long Description Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic 33362 Replace aortic valve open valve; open femoral artery approach Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic 33363 Replace aortic valve open valve; open axillary artery approach Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic 33364 Replace aortic valve open valve; open iliac artery approach Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic 33365 Replace aortic valve open valve; transaortic approach (eg, median sternotomy, mediastinotomy) Transcatheter aortic valve replacement (tavr/tavi) with prosthetic valve; 33366 Trcath replace aortic valve transapical exposure (eg, left thoracotomy) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with percutaneous peripheral arterial and venous cannulation (eg, femoral vessels) (List separately in 33367 Replace aortic valve w/byp addition to code for primary procedure) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with open peripheral arterial and venous cannulation (eg, femoral, iliac, axillary vessels) (List separately in 33368 Replace aortic valve w/byp addition to code for primary procedure) Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List separately in 33369 Replace aortic valve w/byp addition to code for primary procedure) Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural 33390 Valvuloplasty aortic valve resuspension) Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or 33391 Valvuloplasty aortic valve annuloplasty) 33404 Prepare heart-aorta conduit Construction of apical-aortic conduit Replacement, aortic valve, with cardiopulmonary bypass; with prosthetic 33405 Replacement of aortic valve valve other than homograft or stentless valve Replacement, aortic valve, with cardiopulmonary bypass; with allograft 33406 Replacement of aortic valve valve (freehand) Replacement, aortic valve, with cardiopulmonary bypass; with stentless 33410 Replacement of aortic valve tissue valve Replacement, aortic valve; with aortic annulus enlargement, 33411 Replacement of aortic valve noncoronary cusp Replacement, aortic valve; with transventricular aortic annulus 33412 Replacement of aortic valve enlargement (Konno procedure) Replacement, aortic valve; by translocation of autologous pulmonary 33413 Replacement of aortic valve valve with allograft replacement of pulmonary valve (Ross procedure) Page 4 of 30 CPT/ HCPCS Short Description Long Description Repair of left ventricular outflow tract obstruction by patch enlargement 33414 Repair of aortic valve of the outflow tract Resection or incision of subvalvular tissue for discrete subvalvular aortic 33415 Revision subvalvular tissue stenosis Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic 33416 Revise ventricle muscle stenosis (eg, asymmetric septal hypertrophy) 33417 Repair of aortic valve Aortoplasty (gusset) for supravalvular stenosis Transcatheter mitral valve repair, percutaneous approach, including 33418 Repair tcat mitral valve transseptal puncture when performed; initial prosthesis 33420 Revision of mitral valve Valvotomy, mitral valve; closed heart 33422 Revision of mitral valve Valvotomy, mitral valve; open heart, with cardiopulmonary bypass 33425 Repair of mitral valve Valvuloplasty, mitral valve, with cardiopulmonary bypass; Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic 33426 Repair of mitral valve ring Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical 33427 Repair of mitral valve reconstruction, with or without ring 33430 Replacement of mitral valve Replacement,
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