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Is 33418 device specific?

Date: Mar 26, 2024

Question:

"Plan was to place an AC pascal clip on the medial aspect of A3-P3. However, there was significant difficulty in advancing the clip through the intended orifice. Multiple different trajectories were attempted as well as attempting to cross with the clip elongated.

After a multi-disciplinary discussion (CT surgeon, interventional cardiology, structural imager), plan was made to attempt plugging of the orifice.

Successful plugging of the intended orifice on the medial aspect of A3-P3 with an 18 mm PFO occluder with improvement of the mitral regurgitation from severe to none."

Can we use 33418 in this situation?

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