How To Use CPT Code 0272T

CPT 0272T describes the evaluation of a carotid sinus baroreflex activation system through the use of an interrogation 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 0272T?

CPT 0272T can be used to describe the evaluation of a carotid sinus baroreflex activation system using an interrogation device. This code is used when the provider assesses the positioning and efficiency of the device to ensure its proper functioning in the treatment of resistant hypertension. The provider also interprets the data collected and reports the findings.

2. Official Description

The official description of CPT code 0272T is: ‘Interrogation device evaluation (in person), carotid sinus baroreflex activation system, including telemetric iterative communication with the implantable device to monitor device diagnostics and programmed therapy values, with interpretation and report (eg, battery status, lead impedance, pulse amplitude, pulse width, therapy frequency, pathway mode, burst mode, therapy start/stop times each day).’

3. Procedure

1. The provider uses a wireless programmer and software to monitor the carotid sinus baroreflex activation system.
2. They check the status of the battery, resistance shown by the leads, pulse amplitude, pulse width, therapy frequency, pathway mode, burst mode, and therapy start and stop times each day.
3. The provider collects the data personally and reports any abnormalities detected.

4. Qualifying circumstances

Patients eligible to receive CPT 0272T services are those with resistant hypertension, which refers to an increase in blood pressure despite treatment with at least three antihypertensive drugs. The evaluation is specifically for the carotid sinus baroreflex activation system. The provider must use an interrogation device to monitor the device’s diagnostics and programmed therapy values, including battery status, lead impedance, pulse amplitude, pulse width, therapy frequency, pathway mode, burst mode, and therapy start/stop times each day.

5. When to use CPT code 0272T

CPT code 0272T should be used when the provider performs an in-person evaluation of a carotid sinus baroreflex activation system using an interrogation device. It should not be reported in conjunction with codes 0266T-0271T and 0273T.

6. Documentation requirements

To support a claim for CPT 0272T, the provider must document the following information:

• Reason for the evaluation, such as resistant hypertension
• Details of the interrogation device used
• Date of the evaluation
• Interpreted data, including battery status, lead impedance, pulse amplitude, pulse width, therapy frequency, pathway mode, burst mode, and therapy start/stop times each day
• Any abnormalities detected and reported findings

7. Billing guidelines

When billing for CPT 0272T, ensure that the provider performs an in-person evaluation of the carotid sinus baroreflex activation system using an interrogation device. Do not report CPT 0272T in conjunction with codes 0266T-0271T and 0273T. If programming is also performed during the evaluation, use CPT code 0273T. Consider the location of the testing when coding for pulmonary function tests.

8. Historical information

CPT 0272T 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 evaluates the positioning and efficiency of a carotid sinus baroreflex activation system using an interrogation device. They interpret the data collected and report the findings.
2. A patient with resistant hypertension undergoes an evaluation of their carotid sinus baroreflex activation system using an interrogation device. The provider monitors the device’s diagnostics and programmed therapy values, reporting any abnormalities detected.
3. A provider uses an interrogation device to evaluate the carotid sinus baroreflex activation system of a patient with resistant hypertension. They interpret the data collected and provide a detailed report of their findings.
4. An individual with resistant hypertension undergoes an evaluation of their carotid sinus baroreflex activation system. The provider uses an interrogation device to monitor the device’s diagnostics and programmed therapy values, reporting any abnormalities detected.
5. A provider performs an in-person evaluation of a carotid sinus baroreflex activation system using an interrogation device. They interpret the data collected and provide a comprehensive report of their findings.
6. A patient with resistant hypertension undergoes an evaluation of their carotid sinus baroreflex activation system. The provider uses an interrogation device to monitor the device’s diagnostics and programmed therapy values, ensuring its proper functioning.
7. A provider evaluates the positioning and efficiency of a carotid sinus baroreflex activation system using an interrogation device. They interpret the data collected and report any abnormalities detected during the evaluation.
8. An individual with resistant hypertension undergoes an evaluation of their carotid sinus baroreflex activation system. The provider uses an interrogation device to monitor the device’s diagnostics and programmed therapy values, ensuring its effectiveness in treating the condition.
9. A provider performs an in-person evaluation of a carotid sinus baroreflex activation system using an interrogation device. They interpret the data collected and provide recommendations based on their findings.
10. A patient with resistant hypertension undergoes an evaluation of their carotid sinus baroreflex activation system. The provider uses an interrogation device to monitor the device’s diagnostics and programmed therapy values, reporting any abnormalities detected during the evaluation.