Jane, a 75-year-old female, was brought to the OR today for operative ablation of her paroxysmal atrial fibrillation via a combined Wolff-Parkinson-White atrio-ventricular node tissue ablation and reconstruction of the atria using the MAZE procedure. Cardiopulmonary bypass was not required. The patient tolerated the procedure well and was sent to ICU for continued monitoring. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT codes for the procedures described are 33250 (Operative ablation of supraventricular arrhythmogenic focus or foci with or without atrial appendage resection, with or without temporary pacemaker insertion, with or without diagnostic electrophysiologic evaluation; without cardiopulmonary bypass) for the Wolff-Parkinson-White atrio-ventricular node tissue ablation and 33258 (Maze procedure, open, with or without atrial appendage resection, performed at the time of other cardiac procedure[s], without cardiopulmonary bypass) for the MAZE procedure reconstruction of the atria. The ICD-10-CM code I48.0 (Paroxysmal atrial fibrillation) is appropriate for the diagnosis. Cardiopulmonary bypass was not used, which aligns with the selected procedures.

Jane, a 75-Year-Old Female, Was Brought to the OR Today