How To Use CPT Code 0659T

CPT 0659T describes the procedure of transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0659T?

CPT 0659T can be used to describe the procedure of transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction. This code is used when the provider introduces a catheter in a coronary vessel to infuse supersaturated oxygen, reducing muscle damage. The code includes catheter placement, imaging guidance, angiography, and radiologic supervision and interpretation.

2. Official Description

The official description of CPT code 0659T is: ‘Transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction, including catheter placement, imaging guidance (eg, fluoroscopy), angiography, and radiologic supervision and interpretation.’

3. Procedure

1. The provider prepares the supersaturated oxygen delivery device, which includes a control console and a cartridge that creates superoxygenated saline.
2. An introducer sheath is placed in the femoral artery of the leg, and a tube connects to the sheath to draw blood to the cartridge to mix with the superoxygenated saline.
3. A guidewire is used to introduce the delivery catheter and place it in the target area of the coronary vessel.
4. The provider delivers the superoxygenated saline mixture to ischemic regions, using imaging guidance such as fluoroscopy and angiography.
5. The infusion may occur over a duration of 60 minutes.
6. After the infusion is complete, the provider disconnects the delivery catheter from the cartridge, disconnects the draw connector from the sheath, and removes the delivery catheter from the patient.
7. The provider completes any additional steps necessary to finish the procedure.

4. Qualifying circumstances

Patients eligible to receive CPT 0659T are those who require percutaneous coronary revascularization during acute myocardial infarction. The procedure involves the introduction of a catheter in a coronary vessel to infuse supersaturated oxygen, reducing muscle damage. The code includes catheter placement, imaging guidance, angiography, and radiologic supervision and interpretation.

5. When to use CPT code 0659T

CPT code 0659T should be used when the provider performs transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction. It should not be reported in conjunction with other specific coronary revascularization codes.

6. Documentation requirements

To support a claim for CPT 0659T, the provider must document the following information:

• Indication for the procedure, such as acute myocardial infarction
• Details of the procedure performed, including catheter placement, imaging guidance, angiography, and radiologic supervision and interpretation
• Start and end time of the procedure
• Any complications or additional steps taken during the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 0659T, ensure that the procedure is performed in conjunction with percutaneous coronary revascularization during acute myocardial infarction. Do not report CPT 0659T in conjunction with other specific coronary revascularization codes. Follow the appropriate coding guidelines and modifiers when reporting this code.

8. Historical information

CPT 0659T was added to the Current Procedural Terminology system on July 1, 2021. It was later added to the Inpatient Only (IPO) list for Medicare in 2022. There have been no updates to the code since its addition.

9. Examples

1. A provider performs transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction for a patient with a blocked coronary artery.
2. During an acute myocardial infarction, a provider introduces a catheter in a coronary vessel to infuse supersaturated oxygen, reducing muscle damage.
3. A patient undergoes transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction to restore blood flow in a blocked coronary artery.
4. Supersaturated oxygen is infused into ischemic regions of the heart during percutaneous coronary revascularization for a patient experiencing an acute myocardial infarction.
5. A provider uses imaging guidance and angiography to complete the transcatheter intracoronary infusion of supersaturated oxygen during percutaneous coronary revascularization for a patient with acute myocardial infarction.
6. During acute myocardial infarction, a provider introduces a catheter in a coronary vessel and delivers superoxygenated saline mixture to reduce muscle damage.
7. A patient with acute myocardial infarction undergoes transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization to improve blood flow in the blocked coronary artery.
8. Supersaturated oxygen is infused into the coronary vessel during percutaneous coronary revascularization for a patient experiencing an acute myocardial infarction.
9. A provider performs transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction to minimize muscle damage.
10. During acute myocardial infarction, a provider introduces a catheter in a coronary vessel and delivers superoxygenated saline mixture to improve blood flow and reduce muscle damage.