© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 0262T involves the implantation of a catheter-delivered prosthetic pulmonary valve using an endovascular approach. This innovative technique is utilized to replace a diseased pulmonary heart valve with a specially designed bovine valve that is sutured inside a stent. The delivery of the prosthetic valve is accomplished through a transfemoral approach, which means that access to the heart is gained via the femoral vein in the leg. This method is minimally invasive compared to traditional surgical approaches, allowing for a quicker recovery and reduced risk of complications. The procedure begins with the preparation of the skin over the femoral vein, followed by a cutdown to facilitate the insertion of a larger caliber catheter necessary for the transcatheter placement of the prosthetic valve. A mapping angiogram is performed to assess the size and condition of the femoral vein and surrounding blood vessels, ensuring they can accommodate the required equipment. Once the guidewire is positioned at the pulmonary valve, the catheter containing the compressed prosthetic valve is advanced and deployed into the native valve. The final steps involve inflating a balloon to secure the valve in place and verifying its proper function through completion angiography. This procedure represents a significant advancement in the treatment of pulmonary valve disease, providing patients with a less invasive option for valve replacement.
© Copyright 2025 Coding Ahead. All rights reserved.
The implantation of a catheter-delivered prosthetic pulmonary valve is indicated for patients with specific conditions affecting the pulmonary valve. These indications may include:
The procedure for the implantation of a catheter-delivered prosthetic pulmonary valve involves several critical steps:
After the procedure, patients are typically monitored for any immediate complications and to assess the function of the newly implanted valve. Post-procedure care may include pain management, monitoring for signs of infection at the catheter insertion site, and ensuring that the patient is stable before discharge. Follow-up appointments are essential to evaluate the long-term success of the valve implantation and to monitor the patient's overall heart function. Patients may also receive specific instructions regarding activity restrictions and medications to support recovery and prevent complications.
| Short Descr | IMPLTJ PULM VLV EVASC APPR | Medium Descr | IMPLANT CATH DELIVRD PROSTH PULM VALVE ENDOVASC | Long Descr | Implantation of catheter-delivered prosthetic pulmonary valve, endovascular approach | Status Code | Carriers Price the Code | Global Days | YYY - Carrier Determines Whether Global Concept Applies | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 43 - Heart valve procedures |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2016-01-01 | Deleted | Code deleted, to report see 33477 |
| 2013-01-01 | Changed | Guideline information changed. |
| 2012-01-01 | Added | First appearance in code book |
| 2011-07-01 | Added | Code implemented |
Get instant expert-level medical coding assistance.