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CPT 33468: Tricuspid Valve Repositioning and Plication for Ebstein Anomaly
CPT code 33468 denotes a specialized cardiac surgical procedure: tricuspid valve repositioning and plication to correct displacement of the septal and posterior leaflets in Ebstein anomaly. This code represents a targeted, corrective intervention for a congenital tricuspid valve malformation and is relevant nationally due to its role in managing a rare but clinically significant cardiac condition that often requires specialized surgical centers and multidisciplinary care.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical settings of care, and the service type tied to this code. The publication summarizes common billing practices and benchmarking considerations, highlights policy and coverage considerations that affect access to specialized congenital valve repair, and outlines what to expect in claims processing for inpatient cardiac surgery procedures.
The report is intended for clinicians, coding professionals, and policy analysts seeking clarity on coding, coverage patterns, and operational implications for complex tricuspid valve repair. Data not available in the input will be explicitly noted in detailed sections.
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Billing Code Overview
CPT code 33468 describes a surgical procedure for tricuspid valve repositioning and plication to correct displacement of the septal and posterior leaflets in Ebstein anomaly. This procedure addresses anatomical malpositioning of tricuspid valve leaflets to improve valve function and reduce regurgitation.
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Service type: Corrective cardiac surgery involving tricuspid valve repair
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Typical site of service: Inpatient hospital operating room or cardiac surgery center