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The procedure described by CPT® Code 33824 involves the surgical repair of a patent ductus arteriosus (PDA) in patients who are 18 years of age or older. The ductus arteriosus is a vital blood vessel that connects the descending aorta to the left pulmonary artery during fetal development, facilitating proper circulation in the womb. Typically, this vessel closes shortly after birth, which is a normal physiological process. However, in cases of patent ductus arteriosus, the ductus fails to close, leading to potential complications such as increased workload on the heart and damage to the lungs due to abnormal blood flow. The surgical approach to repair the PDA involves a posterolateral thoracotomy, which is an incision made in the chest to access the heart and surrounding structures. During the procedure, the surgeon may choose to suture ligate the ductus arteriosus, effectively tying it off, or utilize clips to close it. In some instances, the ductus may be both ligated and divided, which is a more definitive surgical intervention. It is important to note that this specific code, 33824, is designated for patients aged 18 years and older, distinguishing it from similar procedures performed on younger patients, which are coded differently.
© Copyright 2025 Coding Ahead. All rights reserved.
The repair of patent ductus arteriosus (PDA) using CPT® Code 33824 is indicated for patients who exhibit the following conditions:
The procedure for the repair of patent ductus arteriosus in patients aged 18 years and older involves several critical steps:
Following the repair of the patent ductus arteriosus, patients are typically monitored in a recovery area for any immediate complications. Post-operative care may include pain management, monitoring vital signs, and ensuring proper respiratory function. Patients may require a short hospital stay for observation, and follow-up appointments will be scheduled to assess recovery and heart function. It is essential for patients to adhere to any prescribed activity restrictions and medication regimens to promote healing and prevent complications.
| Short Descr | REPAIR PDA DIV 18 YRS&OLDER | Medium Descr | REPAIR PDA BY DIVISION 18 YEARS & OLDER | Long Descr | Repair of patent ductus arteriosus; by division, 18 years and older | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard 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 | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 1 | CCS Clinical Classification | 52 - Aortic resection, replacement or anastomosis |
This is a primary code that can be used with these additional add-on codes.
| 33257 | Addon Code MPFS Status: Active Code APC C Illustration for Code Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg, modified maze procedure) (List separately in addition to code for primary procedure) | 33258 | Addon Code MPFS Status: Active Code APC C Illustration for Code 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 primary procedure) | 34714 | Addon Code MPFS Status: Active Code APC N ASC N1 Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by groin incision, unilateral (List separately in addition to code for primary procedure) | 34716 | Addon Code MPFS Status: Active Code APC N ASC N1 Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by infraclavicular or supraclavicular incision, unilateral (List separately in addition to code for primary procedure) | 34833 | Addon Code Resequenced Code MPFS Status: Active Code APC C CPT Assistant Article Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass, by abdominal or retroperitoneal incision, unilateral (List separately in addition to code for primary procedure) |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2025-01-01 | Changed | Short and Medium Descriptions changed. |
| 2013-01-01 | Changed | Medium Descriptor changed. |
| Pre-1990 | Added | Code added. |
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