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Pediatric Single-Ventricle Norwood & Glenn Scrubber

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.

Pediatric Congenital Cardiac Surgery Engine

Pediatric Single-Ventricle Norwood & Glenn Scrubber

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).

1. Palliative Reconstructive Stage

Primary Procedural CPT

33619

Base Surgical Allowable

$6,800

2. Concomitant Reconstructions & ICU Care

Gross Clean Allowed

$14,200

Includes primary repair & add-ons

Revenue At Risk

$1,580

Vulnerable to global fee clawbacks

Stage: STAGE1 NORWOOD

Single-Ventricle Coding Ledger

5 Billable Codes
3361996.5 RVURepair of single ventricle with aortic arch reconstruction (Norwood procedure with neo-aorta)

Primary reconstructive repair for hypoplastic left heart syndrome (HLHS) with pulmonary homograft arch augmentation under hypothermic circulatory arrest.

$6,800
33766-5938.2 RVUAnastomosis, right ventricle to pulmonary artery conduit (Sano modification shunt)

Right ventriculotomy with non-valved Gore-Tex conduit to confluence of branch pulmonary arteries.

$2,650
+3368822.4 RVURepair of branch pulmonary artery stenosis or hypoplasia (pericardial patch angioplasty)

Extensive longitudinal patch arterioplasty of LPA/RPA beyond the confluence. Exempt from Modifier -51.

$1,580
33530-5816.8 RVUDelayed sternal closure after open-chest cardiac resuscitation (staged procedure)

Planned staged closure 48-72h postoperatively following mediastinal decompression for neonatal myocardial edema.

$1,180
33946-5928.5 RVUExtracorporeal membrane oxygenation (ECMO) / venoarterial (VA) cannulation, central thoracic

Central cannulation of aortic root and right atrium with circuit transition for failure to wean from cardiopulmonary bypass.

$1,990

Payer Scrubber & Audit Defenses

Document separate incision and ventriculotomy to defend CPT 33766 Sano shunt from primary arch closure bundling.
Apply Modifier -58 to delayed sternal closure (+33530) to bypass 90-day post-Norwood global bundling.
Ensure operative note contains detailed hemodynamic collapse documentation justifying VA-ECMO deployment (+33946).

Request Pediatric Congenital Cardiac RCM Audit

Get an expert review of your Norwood, Glenn, and Fontan surgical coding, pulmonary artery reconstruction add-ons, and staged procedure modifier compliance.

Next Step For Your Practice

Turn these Pediatric Single-Ventricle Norwood & Glenn Scrubber insights into a practice-specific review

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. Results in 14 days after the BAA, complete intake and agreed success criteria.

Free 50-Claim Audit Pilot

Test our scrub rules and appeal workflow on 50 real claims. Zero commitment, no credit card required.

Instant A/R Gap Analysis

Enter your aging totals for an instant planning report. Uploaded files are processed locally; clinical intake is arranged separately.

Scoped targets in writing Human review before submission HIPAA BAA Provided

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