How To Use CPT Code 0267T

CPT 0267T describes the implantation or replacement of unilateral leads of a carotid sinus baroreflex activation device. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0267T?

CPT 0267T can be used to describe the implantation or replacement of unilateral leads of a carotid sinus baroreflex activation device. This procedure involves placing electrodes in the carotid sinus to stimulate the baroreceptors, which helps lower the heart rate and blood pressure of the patient. The code is used when the provider performs this procedure unilaterally, meaning on one side of the neck.

2. Official Description

The official description of CPT code 0267T is: ‘Implantation or replacement of carotid sinus baroreflex activation device; lead only, unilateral (includes intra-operative interrogation, programming, and repositioning, when performed).’ This code is used when the provider implants or replaces the leads of the device on one side of the neck.

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An incision is made near the clavicle on one side of the neck to access the carotid sinus.
3. The provider places electrodes in the carotid sinus and attaches wires to them, which will be connected to the generator.
4. The system is tested for accuracy to ensure proper stimulation of the baroreceptors in the carotid sinus.
5. Upon initiation, the generator stimulates the electrodes, leading to dilation of the vessels and a reduction in heart rate and blood pressure.
6. Hemostasis is achieved to stop any bleeding, and the incision is closed in layers.

4. Qualifying circumstances

CPT 0267T is used for patients with resistant hypertension, which refers to an increase in blood pressure despite treatment with at least three antihypertensive drugs. The procedure is performed by a provider to implant or replace unilateral leads of the carotid sinus baroreflex activation device. It is important to note that for bilateral lead implantation or replacement, modifier 50 should be appended to the code.

5. When to use CPT code 0267T

CPT code 0267T should be used when the provider performs the implantation or replacement of unilateral leads of the carotid sinus baroreflex activation device. It should not be used for bilateral lead implantation or replacement, as that requires modifier 50 to be appended to the code. If the provider implants or replaces both leads and the pulse generator, code 0266T should be used. If only the pulse generator is implanted or replaced, code 0268T should be used.

6. Documentation requirements

To support a claim for CPT 0267T, the provider must document the following information:

• Patient’s diagnosis of resistant hypertension
• Details of the procedure, including the unilateral placement or replacement of leads
• Intra-operative interrogation, programming, and repositioning, if performed
• Date of the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 0267T, ensure that the procedure involves the implantation or replacement of unilateral leads of the carotid sinus baroreflex activation device. Modifier 50 should be appended if the procedure is performed bilaterally. It is important to note that if the provider implants or replaces both leads and the pulse generator, code 0266T should be used. If only the pulse generator is implanted or replaced, code 0268T should be used. Take into consideration the specific guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 0267T was added to the Current Procedural Terminology system on January 1, 2012. There have been no updates to the code since its addition.

9. Examples

1. A provider implants unilateral leads of a carotid sinus baroreflex activation device to treat resistant hypertension in a patient.
2. A patient with resistant hypertension undergoes the replacement of unilateral leads of a carotid sinus baroreflex activation device.
3. Unilateral leads of a carotid sinus baroreflex activation device are implanted in a patient with resistant hypertension to lower their blood pressure.
4. A provider performs the replacement of unilateral leads of a carotid sinus baroreflex activation device in a patient with resistant hypertension.
5. In a patient with resistant hypertension, unilateral leads of a carotid sinus baroreflex activation device are implanted to help manage their blood pressure.
6. The replacement of unilateral leads of a carotid sinus baroreflex activation device is performed in a patient with resistant hypertension.
7. A provider implants unilateral leads of a carotid sinus baroreflex activation device to aid in lowering the blood pressure of a patient with resistant hypertension.
8. In a patient with resistant hypertension, the replacement of unilateral leads of a carotid sinus baroreflex activation device is performed to improve their blood pressure control.
9. A carotid sinus baroreflex activation device is implanted in a patient with resistant hypertension, using unilateral leads.
10. The replacement of unilateral leads of a carotid sinus baroreflex activation device is performed in a patient with resistant hypertension to optimize their blood pressure management.