CPT | |
---|---|
33266 | Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, maze procedure), without cardiopulmonary bypass |
ICD-10 Procedure |
CPT | |
---|---|
33259 | Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass |
The Maze procedure is the “gold standard for surgical treatment of atrial fibrillation” (Calkins, 2012; Saltman, 2009; Weimar, 2011) and is the most effective curative surgical treatment of AF for individuals who do not respond to medical therapies.
Inclusion or exclusion of a procedure, diagnosis or device code (s) does not constitute or imply member coverage or provider reimbursement policy. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member.
The Maze procedure is the “gold standard for surgical treatment of atrial fibrillation” (Calkins, 2012; Khiabani, 2020; Saltman, 2009; Weimar, 2011) and is the most effective curative surgical treatment of AF for individuals who do not respond to medical therapies.
Inclusion or exclusion of a procedure, diagnosis or device code (s) does not constitute or imply member coverage or provider reimbursement policy. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member.
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code Z98.890 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Z98.890 is a billable diagnosis code used to specify a medical diagnosis of other specified postprocedural states. The code Z98.890 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
Z98.890 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals. The code Z98.890 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.