How To Use CPT Code 0417T

CPT 0417T describes the procedure for programming device evaluation with iterative adjustment of an implantable cardiac contractility modulation system. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0417T?

CPT 0417T can be used to report the in-person evaluation and programming of an already-implanted cardiac contractility modulation (CCM) system. This code includes the analysis, review, and report of the provider’s findings and the programmed settings. It is important to note that CPT 0417T should not be reported in conjunction with codes 0408T, 0409T, 0410T, 0411T, 0412T, 0413T, 0414T, 0415T, or 0418T.

2. Official Description

The official description of CPT code 0417T is: ‘Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, implantable cardiac contractility modulation system.’

3. Procedure

1. The provider begins by connecting an electrocardiogram (ECG) monitor to the patient and a portable programmer to the pulse generator of the CCM system.
2. Using the programmer, the provider establishes a communication link between the CCM system and the programmer.
3. The provider then analyzes and reviews several parameters of the stored data, comparing it to current readings.
4. Based on the analysis, the provider determines whether any adjustments need to be made to the programmed settings of the CCM system to optimize its performance.
5. The provider makes iterative adjustments to the programmed settings of the CCM system until the optimal permanent programmed values are selected.
6. Finally, the provider prepares a report of their findings and the programmed settings.

4. Qualifying circumstances

CPT 0417T is used for the evaluation and programming of an already-implanted cardiac contractility modulation (CCM) system. This system consists of a pulse generator and three electrodes attached to wire leads. The leads deliver electrical impulses to the ventricular septum and monitor contractility. The CCM system is employed to treat patients with persistent congestive heart failure not responding to optimal medical therapy.

5. When to use CPT code 0417T

CPT code 0417T should be used when the provider performs an in-person evaluation and repeatedly adjusts the programmed settings of an already-implanted cardiac contractility modulation (CCM) system. This code includes the analysis, review, and report of the provider’s findings and the programmed settings. It should not be reported in conjunction with codes 0408T, 0409T, 0410T, 0411T, 0412T, 0413T, 0414T, 0415T, or 0418T.

6. Documentation requirements

To support a claim for CPT 0417T, the provider must document the following information:

• Patient’s diagnosis and the need for evaluation and programming of the CCM system
• Specific parameters analyzed and reviewed
• Iterative adjustments made to the programmed settings
• Optimal permanent programmed values selected
• Report of the provider’s findings and the programmed settings

7. Billing guidelines

When billing for CPT 0417T, ensure that the procedure involves the evaluation and programming of an already-implanted cardiac contractility modulation (CCM) system. It should not be reported in conjunction with codes 0408T, 0409T, 0410T, 0411T, 0412T, 0413T, 0414T, 0415T, or 0418T. It is important to check with the payer regarding their policies on the CCM system, as it may be considered investigational by some payers.

8. Historical information

CPT 0417T was added to the Current Procedural Terminology system on January 1, 2016. There have been no updates to the code since its addition.

9. Examples

1. A provider performs an in-person evaluation and adjusts the programmed settings of an already-implanted cardiac contractility modulation (CCM) system to optimize its performance.
2. During the evaluation, the provider analyzes and reviews the parameters of the CCM system, comparing them to current readings.
3. Based on the analysis, the provider makes iterative adjustments to the programmed settings until the optimal permanent programmed values are selected.
4. The provider prepares a report of their findings and the programmed settings for documentation purposes.
5. A patient with persistent congestive heart failure undergoes an in-person evaluation and programming of their already-implanted cardiac contractility modulation (CCM) system to improve their condition.
6. The provider connects an ECG monitor and a portable programmer to the patient and the CCM system, respectively, to establish communication.
7. Using the programmer, the provider analyzes the stored data and makes adjustments to the programmed settings to optimize the performance of the CCM system.
8. The provider repeats the process of analysis and adjustment until the optimal permanent programmed values are selected.
9. Finally, the provider prepares a report summarizing their findings and the programmed settings for record-keeping purposes.
10. A patient with persistent congestive heart failure undergoes an in-person evaluation and programming of their already-implanted cardiac contractility modulation (CCM) system to assess its function.