Multi-stage palliative surgical reconstruction for hypoplastic left heart syndrome (HLHS) and single ventricle anomalies represents one of medicine’s highest-acuity pathways. Yet congenital cardiothoracic surgical programs routinely lose tens of thousands of dollars to global period clawbacks, branch pulmonary artery patch angioplasty bundling (+33688), and unlinked delayed sternal closure (+33530). Scrub and defend your multi-stage single-ventricle claims.
Eliminate multi-thousand dollar global period clawbacks on staged palliation for hypoplastic left heart syndrome (HLHS). Defend Norwood arch reconstruction (33619), Sano shunts (33766), pulmonary artery angioplasty (+33688), and delayed sternal closure (+33530).
Primary Procedural CPT
33619
Base Surgical Allowable
$6,800
Gross Clean Allowed
$14,200
Includes primary repair & add-ons
Revenue At Risk
$1,580
Vulnerable to global fee clawbacks
Primary reconstructive repair for hypoplastic left heart syndrome (HLHS) with pulmonary homograft arch augmentation under hypothermic circulatory arrest.
Right ventriculotomy with non-valved Gore-Tex conduit to confluence of branch pulmonary arteries.
Extensive longitudinal patch arterioplasty of LPA/RPA beyond the confluence. Exempt from Modifier -51.
Planned staged closure 48-72h postoperatively following mediastinal decompression for neonatal myocardial edema.
Central cannulation of aortic root and right atrium with circuit transition for failure to wean from cardiopulmonary bypass.
Get an expert review of your Norwood, Glenn, and Fontan surgical coding, pulmonary artery reconstruction add-ons, and staged procedure modifier compliance.
Pediatric cardiothoracic surgical programs lose an average of $3,780 to $6,800 per infant when clearinghouses bundle multi-stage shunts, delayed sternal closures, or post-cardiotomy ECMO support. Let our senior AAPC-certified billing team audit 50 of your active claims or past denials — completely free, with guaranteed under-48-hour findings.
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