License Licensor Patent Foramen Ovale
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FAQ
A PFO is an atrial septal defect. These defects are normally repaired via catheter using a closure device such as CardioSEALs Septal Occluder. If the physician repaired the defect using a catheter, the correct CPT code is 93580.
Q21. 12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM Q21. 12 became effective on October 1, 2023.
A patent foramen ovale may be difficult to confirm on a standard echocardiogram. Your provider may recommend this test to get a closer look at the heart. A transesophageal echocardiogram takes pictures of the heart from inside the body. It's considered the most accurate way to diagnose a patent foramen ovale.
After 5 days, no heavy activity that causes deep/heavy breathing for 6-8 weeks. No driving for 5 days. No tub baths, swimming, or hot tubs for 7 days. Most patients return to work within one week.
If you have insurance through your employer or pay for private insurance, PFO closure is most likely covered. Check your insurance policy for coverage criteria and exclusions.