How To Use CPT Code 0580T

CPT 0580T describes the removal of a substernal implantable defibrillator 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 0580T?

CPT 0580T can be used to describe the removal of a substernal implantable defibrillator pulse generator. This code is used when the provider opens the surgically created pocket in the chest wall and removes the pulse generator. The pulse generator is a device that stimulates the nerves controlling muscles with electrical impulses. It regulates the heart rate by delivering a mild electric shock when necessary.

2. Official Description

The official description of CPT code 0580T is: ‘Removal of substernal implantable defibrillator pulse generator only.’

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. The provider incises the scar over the substernal implantable pulse generator pocket and opens the pocket.
3. The provider frees the leads from the fibrous tissue and disconnects them from the generator.
4. The provider removes the pulse generator and leaves the leads in place.
5. The provider closes the pocket and skin with sutures.

4. Qualifying circumstances

Patients eligible for CPT 0580T are those who have a substernal implantable defibrillator pulse generator that needs to be removed. This procedure is typically performed when the pulse generator is no longer functioning properly or needs to be replaced. It is important to note that CPT 0580T should not be reported in conjunction with codes 0575T, 0576T, 0577T, or 0614T.

5. When to use CPT code 0580T

CPT code 0580T should be used when a provider performs the removal of a substernal implantable defibrillator pulse generator without replacing it. If the removal is performed in conjunction with the removal of a substernal electrode, CPT code 0580T should be used in conjunction with code 0573T. If the removal and replacement of an implantable cardioverter-defibrillator and substernal electrode(s) are performed, CPT code 0580T should be used in conjunction with codes 0571T and 0573T.

6. Documentation requirements

To support a claim for CPT 0580T, the provider must document the following information:

• Reason for the removal of the substernal implantable defibrillator pulse generator
• Details of the procedure, including the incision, removal of the pulse generator, and closure of the pocket and skin
• Any complications or additional procedures performed during the removal
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 0580T, ensure that the procedure performed is the removal of a substernal implantable defibrillator pulse generator without replacement. Do not report CPT 0580T in conjunction with codes 0575T, 0576T, 0577T, or 0614T. It is important to review the specific guidelines and requirements of the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 0580T 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 patient undergoes the removal of a substernal implantable defibrillator pulse generator due to device malfunction.
2. A provider performs the removal of a substernal implantable defibrillator pulse generator as part of a planned replacement procedure.
3. A patient requires the removal of a substernal implantable defibrillator pulse generator due to an infection at the implant site.
4. A provider removes a substernal implantable defibrillator pulse generator that is no longer needed for the patient’s cardiac condition.
5. A patient undergoes the removal of a substernal implantable defibrillator pulse generator as part of end-of-life care decisions.
6. A provider performs the removal of a substernal implantable defibrillator pulse generator to address complications related to the device.
7. A patient requires the removal of a substernal implantable defibrillator pulse generator due to a change in their cardiac treatment plan.
8. A provider removes a substernal implantable defibrillator pulse generator that is causing discomfort or pain for the patient.
9. A patient undergoes the removal of a substernal implantable defibrillator pulse generator as part of a clinical trial or research study.
10. A provider performs the removal of a substernal implantable defibrillator pulse generator as a precautionary measure for the patient’s overall health and well-being.