CPT® Code 33940

The procedure described by CPT® Code 33940 refers to a donor cardiectomy, which is a surgical operation performed to remove the heart from a deceased donor for transplantation purposes. This procedure is conducted after the confirmation of brain death, ensuring that the donor's organs are viable for transplantation. The organ procurement team plays a crucial role in this process, as they are responsible for the careful examination of the donor to assess the condition of the organs. A bronchoscopy is typically performed to evaluate the lungs, which are also harvested along with the heart. The surgical approach involves a median sternotomy, which is an incision made along the sternum to access the thoracic cavity. This incision may be extended to allow access to the abdominal organs as well, facilitating a comprehensive examination and preparation of the organs for removal. During the procedure, the heart undergoes a thorough inspection, and preliminary dissection of both the lungs and heart is carried out to prepare for the removal. The pulmonary artery and aorta are cannulated to enable the perfusion of the body with cold saline, which is critical for preserving the heart during transport. The superior vena cava, left pulmonary vein, and inferior vena cava are then divided to detach the heart from the circulatory system. Once the aorta is cross-clamped, the body is perfused, and the heart is subsequently removed. It is placed in a sterile bag and then surrounded by ice to maintain its viability until it can be transported to the recipient site for transplantation. This meticulous process is essential for ensuring that the heart remains in optimal condition for successful transplantation into a recipient.