CPT® Code 33982

Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass

The CPT® Code 33982 refers to the replacement of a ventricular assist device (VAD) pump that is implantable and intracorporeal, specifically designed for a single ventricle, and performed without the use of cardiopulmonary bypass. A ventricular assist device is a mechanical pump that supports heart function and blood flow in individuals with weakened hearts. The device is implanted within the body, allowing for a more natural integration with the patient's physiology. The procedure involves a surgical approach where a midline chest incision is made, extending into the upper abdomen to access the pump pocket. This replacement procedure is typically necessary when the existing pump experiences mechanical failure, necessitating its removal and substitution with a new pump. The process is intricate, requiring careful dissection and connection of various conduits and lines to ensure proper functionality of the new device. The absence of cardiopulmonary bypass during this procedure indicates that the heart is not temporarily stopped, allowing for a more straightforward surgical approach and potentially reducing recovery time for the patient.