How To Use CPT Code 0674T

CPT 0674T describes the laparoscopic insertion or replacement of a synchronized diaphragmatic stimulation system for the augmentation of cardiac function. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0674T?

CPT 0674T can be used to describe the laparoscopic insertion or replacement of a synchronized diaphragmatic stimulation system for the augmentation of cardiac function. This code is used when a provider uses a laparoscopic approach to insert or replace one or more leads and a pulse generator to help improve cardiac function in patients with heart failure.

2. Official Description

The official description of CPT code 0674T is: ‘Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including an implantable pulse generator and diaphragmatic lead(s).’ It is important to note that CPT code 0674T should not be reported in conjunction with codes 0675T, 0676T, 0677T, 0678T, 0679T, 0680T, 0681T, 0682T, 0683T, 0684T, or 0685T.

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. Using a laparoscopic approach, the provider makes small incisions to insert a laparoscope, which allows them to view the interior of the abdomen.
3. The provider then uses a laparoscopic implant tool to insert one or more leads on the underside of the diaphragm, the muscular membrane that separates the lungs from the stomach area.
4. If this is a replacement procedure, the provider may remove previously placed leads.
5. After placing the lead(s), the provider removes the laparoscope and makes an incision in the abdomen.
6. A small pocket is created under the skin, and the system’s pulse generator is placed in the pocket.
7. The lead or leads are connected to the generator, and the pocket is closed.
8. The provider may also perform interrogation and programming of the device as part of this procedure.

4. Qualifying circumstances

CPT 0674T is used for patients with heart failure who require augmentation of cardiac function through the use of a synchronized diaphragmatic stimulation system. The procedure is performed using a laparoscopic approach, and the patient must meet the criteria for the insertion or replacement of the system. It is important to note that CPT code 0674T should not be reported in conjunction with codes 0675T, 0676T, 0677T, 0678T, 0679T, 0680T, 0681T, 0682T, 0683T, 0684T, or 0685T.

5. When to use CPT code 0674T

CPT code 0674T should be used when a provider performs a laparoscopic insertion or replacement of a synchronized diaphragmatic stimulation system for the augmentation of cardiac function. It is important to ensure that the procedure meets the specific criteria outlined in the code description. CPT code 0674T should not be reported in conjunction with codes 0675T, 0676T, 0677T, 0678T, 0679T, 0680T, 0681T, 0682T, 0683T, 0684T, or 0685T.

6. Documentation requirements

To support a claim for CPT code 0674T, the provider must document the following information:

• Patient’s diagnosis and indication for the procedure
• Details of the laparoscopic approach and the number of leads inserted or replaced
• Description of the pulse generator placement and connection to the leads
• Any additional procedures performed, such as interrogation and programming of the device
• Signature of the performing provider

7. Billing guidelines

When billing for CPT code 0674T, it is important to ensure that the procedure meets the specific criteria outlined in the code description. CPT code 0674T should not be reported in conjunction with codes 0675T, 0676T, 0677T, 0678T, 0679T, 0680T, 0681T, 0682T, 0683T, 0684T, or 0685T. It is also important to follow any additional guidelines provided by payers or coding authorities.

8. Historical information

CPT code 0674T was added to the Current Procedural Terminology system on January 1, 2022. There have been no updates to the code since its addition.

9. Examples

1. A provider performs a laparoscopic insertion of a synchronized diaphragmatic stimulation system for a patient with heart failure.
2. A patient undergoes a laparoscopic replacement of a synchronized diaphragmatic stimulation system to improve cardiac function.
3. A provider inserts leads and a pulse generator using a laparoscopic approach to augment cardiac function in a patient with heart failure.
4. A laparoscopic procedure is performed to replace leads and a pulse generator in a synchronized diaphragmatic stimulation system for a patient with heart failure.
5. A synchronized diaphragmatic stimulation system is inserted laparoscopically to help improve cardiac function in a patient with heart failure.
6. A provider performs a laparoscopic replacement of leads and a pulse generator in a synchronized diaphragmatic stimulation system for a patient with heart failure.
7. A patient undergoes a laparoscopic insertion of a synchronized diaphragmatic stimulation system to augment cardiac function.
8. A provider uses a laparoscopic approach to replace leads and a pulse generator in a synchronized diaphragmatic stimulation system for a patient with heart failure.
9. A synchronized diaphragmatic stimulation system is inserted laparoscopically for a patient with heart failure to improve cardiac function.
10. A laparoscopic procedure is performed to replace a synchronized diaphragmatic stimulation system and improve cardiac function in a patient with heart failure.