How To Use CPT Code 0573T

CPT 0573T describes the removal of a previously placed substernal implantable defibrillator electrode after detaching it from the pulse generator. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0573T?

CPT 0573T can be used to describe the removal of a substernal implantable defibrillator electrode. This code is used when the electrode, which has been previously placed, needs to be detached from the pulse generator and removed from under the breastbone. The procedure involves making an incision through the scar from the previous electrode placement and also over the pulse generator. The provider then disconnects the electrode from the pulse generator and pulls it out through a subaxillary incision. Imaging guidance may be used to visualize the electrode’s path during the removal.

2. Official Description

The official description of CPT code 0573T is: ‘Removal of substernal implantable defibrillator electrode (Use 0573T in conjunction with 0580T for removal of substernal electrode in conjunction with removal of implantable defibrillator pulse generator without replacement) (Do not report 0573T in conjunction with 93260, 93261, 93644, 0575T, 0576T, 0577T) (For removal of subcutaneous implantable defibrillator electrode, use 33272)’

3. Procedure

1. The provider prepares the patient for the procedure, ensuring appropriate prepping and anesthesia.
2. An incision is made through the scar from the previous substernal electrode placement and also over the pulse generator.
3. The provider disconnects the electrode from the pulse generator.
4. The electrode is then carefully pulled out from under the sternum and through the subaxillary incision.
5. Imaging guidance may be used to visualize the electrode’s path and ensure its complete removal.
6. The provider closes the incisions using sutures and/or tissue adhesive.

4. Qualifying circumstances

CPT 0573T is used for the removal of a substernal implantable defibrillator electrode. It should not be reported in conjunction with codes 93260, 93261, 93644, 0575T, 0576T, or 0577T. For the removal of a subcutaneous implantable defibrillator electrode, use code 33272.

5. When to use CPT code 0573T

CPT code 0573T should be used when a previously placed substernal implantable defibrillator electrode needs to be removed. It is important to use this code in conjunction with code 0580T when the electrode is removed in conjunction with the removal of the implantable defibrillator pulse generator without replacement. It should not be reported with codes 93260, 93261, 93644, 0575T, 0576T, or 0577T.

6. Documentation requirements

To support a claim for CPT 0573T, the provider must document the following information:

• Reason for the removal of the substernal implantable defibrillator electrode
• Details of the procedure, including the incisions made and the detachment of the electrode from the pulse generator
• Use of imaging guidance, if applicable
• Details of the closure of the incisions

7. Billing guidelines

When billing for CPT 0573T, ensure that the procedure involves the removal of a substernal implantable defibrillator electrode. It should not be reported with codes 93260, 93261, 93644, 0575T, 0576T, or 0577T. If the removal is performed in conjunction with the removal of the implantable defibrillator pulse generator without replacement, use code 0580T. It is important to review the documentation and coding guidelines to accurately report the procedure.

8. Historical information

CPT 0573T was added to the Current Procedural Terminology system on January 1, 2020. There have been no updates to the code since its addition.

9. Examples

1. A provider removes a previously placed substernal implantable defibrillator electrode after detaching it from the pulse generator.
2. A patient undergoes a procedure to remove a substernal implantable defibrillator electrode that had been causing discomfort.
3. A provider performs the removal of a substernal implantable defibrillator electrode due to a malfunction.
4. A patient with a history of substernal implantable defibrillator electrode placement undergoes a procedure to remove the electrode as part of their overall treatment plan.
5. A provider removes a substernal implantable defibrillator electrode that is no longer needed for the patient’s cardiac condition.
6. A patient undergoes a procedure to remove a substernal implantable defibrillator electrode in preparation for a different treatment modality.
7. A provider performs the removal of a substernal implantable defibrillator electrode to address an infection at the site.
8. A patient with a history of substernal implantable defibrillator electrode placement undergoes a procedure to remove the electrode as part of their end-of-life care plan.
9. A provider removes a substernal implantable defibrillator electrode that has become damaged or compromised.
10. A patient undergoes a procedure to remove a substernal implantable defibrillator electrode in order to upgrade to a newer model.