33405

Aortic Valve Replacement

Code Description

CPT code 33405 is used to report replacement of the aortic valve with a prosthetic valve. During the procedure, the surgeon removes the diseased valve and implants a mechanical or biological replacement valve to restore normal blood flow through the heart.

The procedure is commonly performed for severe aortic stenosis, aortic insufficiency, and other significant valve disorders.

When to Use 33405

Common examples include:

  • severe aortic stenosis

  • aortic valve insufficiency

  • congenital valve abnormalities

  • symptomatic valve disease

  • progressive heart failure due to valve dysfunction

Documentation Requirements

Documentation should include:

  • diagnosis requiring replacement

  • type of valve implanted

  • surgical approach

  • operative findings

  • patient tolerance

Common Billing Mistakes

Common billing mistakes include:

  • incorrect valve procedure selection

  • insufficient operative documentation

  • failure to document prosthetic valve type

  • incomplete surgical reports

  • reporting unrelated cardiovascular procedures incorrectly

33400

Aortic Valvotomy

33410

Aortic Valve Replacement With Homograft

33430

Mitral Valve Replacement

FAQ

What is the purpose of aortic valve replacement?

The procedure replaces a diseased valve to improve blood flow from the heart to the body.

What types of replacement valves are available?

Mechanical valves and biologic tissue valves are commonly used depending on patient needs.

Is aortic valve replacement considered major surgery?

Yes. It is a major cardiovascular surgical procedure performed by a cardiac surgeon.

What conditions commonly require valve replacement?

Severe aortic stenosis and aortic valve insufficiency are among the most common indications.

Procedure Type

Valve Replacement

Body Area

Technique

Aortic Valve

Open Heart Surgery