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Complex Mitral Valve Repair

Sonnia Posted Tue 28th of June, 2016 14:47:35 PM
What is considered a "Complex" mitral valve repair, 33427?
SuperCoder Answered Wed 29th of June, 2016 00:52:02 AM
Hi, Yes 33427 is for complex mitral valve repair.
Sonnia Posted Wed 29th of June, 2016 11:39:11 AM
I need to know what constitutes a "complex" repair? Encoder states, if a more extensive repair, including transfer of cords from the posterior leaflet to the anterior leaflet, is performed. Can you please help me understand the difference between 33426 and 33427. For example, does the procedure below describe a complex mitral valve repair? Mitral Valve Repair (Secondary Chordal Cutting Anterior Leaflet, Edge-To-Edge Alferi Repair, Resection of Accessory Mitral Tissue)
SuperCoder Answered Thu 30th of June, 2016 02:21:15 AM
Hi, Report 33426 if the mitral valve diameter is enlarged requiring placement of a prosthetic ring. Report 33427 if a more extensive repair, including transfer of cords from the posterior leaflet to the anterior leaflet, is performed. A prosthetic ring may be required with extensive reconstruction.Your procedure states Secondary Chordal Cutting Anterior Leaflet, Edge-To-Edge Alferi Repair, Resection of Accessory Mitral Tissue which is 33427.

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