© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 0570T refers to a specific medical procedure known as transcatheter tricuspid valve repair, which is performed using a percutaneous approach. This procedure is particularly relevant for patients suffering from tricuspid regurgitation (TR), a condition where the tricuspid valve does not close properly, allowing blood to flow backward into the right atrium during ventricular contraction. The tricuspid valve is a critical component of the heart's anatomy, consisting of three leaflets—anterior, posterior, and septal—that are attached to the tricuspid annulus and connected to the papillary muscles of the right ventricle via chordae tendineae. The complexity of the tricuspid valve's structure, along with its proximity to vital cardiac structures such as the conduction system and coronary arteries, makes this procedure both intricate and essential for managing TR, which is often associated with severe left heart disease and advanced chronic heart failure. The procedure involves accessing the femoral vein, navigating through the inferior vena cava, and employing a series of catheters to position and deploy prosthetic devices that help to repair the valve and mitigate regurgitation. If the initial prosthesis does not sufficiently address the regurgitation, additional prostheses can be deployed during the same session, which is specifically indicated by the use of CPT® Code 0570T, allowing for comprehensive treatment of the condition.
© Copyright 2025 Coding Ahead. All rights reserved.
The transcatheter tricuspid valve repair procedure is indicated for patients diagnosed with tricuspid regurgitation (TR). This condition is characterized by the failure of the tricuspid valve leaflets to close completely, leading to backward blood flow into the right atrium during ventricular contraction. TR is often associated with underlying conditions such as left heart disease and late-stage chronic heart failure, which can significantly impact the patient's prognosis and quality of life.
The transcatheter tricuspid valve repair procedure involves several critical steps to ensure successful intervention for tricuspid regurgitation. Initially, access to the femoral vein is obtained, which can be achieved through a small incision or a needle puncture in the groin area. This access point allows for the introduction of a vascular catheter that is navigated through the inferior vena cava and into the right side of the heart.
Post-procedure care for patients undergoing transcatheter tricuspid valve repair typically involves monitoring for any complications, assessing the effectiveness of the repair, and managing the patient's recovery. Patients may require follow-up imaging studies to evaluate the function of the tricuspid valve and the success of the prosthetic devices. Additionally, healthcare providers will monitor the patient for signs of infection, bleeding, or other adverse effects related to the procedure. The overall recovery process will depend on the individual patient's health status and the complexity of the procedure performed.
| Short Descr | TTVR PERQ EA ADDL PROSTH | Medium Descr | TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS | Long Descr | Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | ZZZ - Code Related to Another Service | 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) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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 | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 0569T | MPFS Status: Carrier Priced APC C Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis | 33367 | Addon Code MPFS Status: Active Code APC C 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 addition to code for primary procedure) | 33368 | Addon Code MPFS Status: Active Code APC C 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 addition to code for primary procedure) | 33369 | Addon Code MPFS Status: Active Code APC C 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 addition to code for primary procedure) |
| Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2020-01-01 | Added | Code added. |
Get instant expert-level medical coding assistance.