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Percutaneous balloon valvuloplasty is a minimally invasive procedure aimed at treating a stenosed, or narrowed, heart valve, specifically the pulmonary valve in this context. This procedure is performed by accessing the heart through a blood vessel, typically one of the femoral arteries located in the groin. The term "percutaneous" refers to the method of accessing the heart through the skin, which allows for a less invasive approach compared to traditional surgical methods. During the procedure, continuous imaging guidance is utilized to ensure accurate placement of the catheter and to monitor the heart's anatomy and function. The primary goal of balloon valvuloplasty is to dilate the narrowed valve, thereby improving blood flow and reducing the symptoms associated with valve stenosis. This procedure is particularly important for patients who may be at high risk for open-heart surgery or those who require immediate relief from symptoms caused by the obstruction of blood flow through the heart. The technique involves several critical steps, including the measurement of intracardiac and intra-arterial pressures to assess the severity of the stenosis and the effectiveness of the dilation once completed.
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The procedure of percutaneous balloon valvuloplasty is indicated for patients who present with a stenosed pulmonary valve, which can lead to significant cardiovascular complications. The following conditions may warrant the performance of this procedure:
The percutaneous balloon valvuloplasty procedure involves several critical steps to ensure successful dilation of the pulmonary valve:
Following the percutaneous balloon valvuloplasty, patients are typically monitored for any complications and to assess the immediate effects of the procedure. Expected recovery may involve a short hospital stay, during which vital signs and heart function are closely observed. Patients may experience some discomfort at the access site, which usually resolves quickly. Follow-up evaluations, including echocardiograms, are often scheduled to monitor the function of the pulmonary valve and to ensure that the dilation has been effective in relieving symptoms and improving blood flow. Additional considerations may include the management of any underlying conditions and the assessment of the need for further interventions based on the patient's overall health and response to the procedure.
| Short Descr | REVISION OF PULMONARY VALVE | Medium Descr | PRQ BALLOON VALVULOPLASTY PULMONARY VALVE | Long Descr | Percutaneous balloon valvuloplasty; pulmonary valve | 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) | 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 | Hospital Part B services paid through a comprehensive APC | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 1 | CCS Clinical Classification | 43 - Heart valve procedures |
This is a primary code that can be used with these additional add-on codes.
| 93662 | Addon Code MPFS Status: Carrier Priced APC N PUB 100 CPT Assistant Article Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) |
| 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. | 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.) | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 1992-01-01 | Added | First appearance in code book in 1992. |
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