How To Use CPT Code 0675T

CPT 0675T describes the laparoscopic insertion or replacement of the first lead of a synchronized diaphragmatic stimulation system for 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 0675T?

CPT 0675T can be used to describe the laparoscopic insertion or replacement of the first lead of a synchronized diaphragmatic stimulation system. This procedure is performed to augment cardiac function in patients with heart failure. The provider makes small incisions and uses a laparoscope to insert the lead on the underside of the diaphragm. If it is a replacement procedure, the previously placed lead may be removed. The lead is then connected to an existing pulse generator. The synchronized diaphragmatic stimulation system uses small shocks from the lead electrodes to stimulate the diaphragm below the heart, improving the filling and emptying of the heart in patients with heart failure.

2. Official Description

The official description of CPT code 0675T is: ‘Laparoscopic insertion of new or replacement of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse generator; first lead.’

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. The provider makes one or more small incisions to insert a laparoscope, a tubular surgical instrument used to view the interior of the abdomen.
3. A laparoscopic implant tool is used to insert the first lead on the underside of the diaphragm.
4. If it is a replacement procedure, the previously placed lead may be removed.
5. The laparoscope is removed.
6. The provider connects the lead to a previously placed pulse generator.
7. The provider may perform interrogation and programming of the device.

4. Qualifying circumstances

CPT 0675T is performed on patients with heart failure who require augmentation of cardiac function. The procedure involves the insertion or replacement of the first lead of a synchronized diaphragmatic stimulation system. The patient must have an existing pulse generator to which the lead will be connected. This procedure is typically performed using a laparoscopic approach.

5. When to use CPT code 0675T

CPT code 0675T should be used when a laparoscopic insertion or replacement of the first lead of a synchronized diaphragmatic stimulation system is performed. This code is specifically for the first lead. If additional leads are inserted, report CPT code 0676T for each additional lead. It is important to note that CPT code 0675T should not be reported with CPT codes 0674T to 0685T, which cover other services related to an implantable synchronized diaphragmatic stimulation system.

6. Documentation requirements

To support a claim for CPT code 0675T, the provider must document the following information:

• Patient’s diagnosis of heart failure and the need for augmentation of cardiac function
• Details of the laparoscopic procedure, including the number and location of incisions
• Description of the lead insertion or replacement
• Connection of the lead to an existing pulse generator
• Interrogation and programming of the device, if performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 0675T, ensure that the procedure is performed using a laparoscopic approach and that it involves the insertion or replacement of the first lead of a synchronized diaphragmatic stimulation system. Do not report CPT code 0675T with other codes related to the same system. It is important to follow any additional guidelines provided by payers for accurate billing and reimbursement.

8. Historical information

CPT code 0675T 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 the first lead of a synchronized diaphragmatic stimulation system for a patient with heart failure.
2. A patient undergoes a laparoscopic replacement of the first lead of a synchronized diaphragmatic stimulation system to improve cardiac function.
3. A provider connects the first lead of a synchronized diaphragmatic stimulation system to an existing pulse generator using a laparoscopic approach.
4. A laparoscopic procedure is performed to insert the first lead of a synchronized diaphragmatic stimulation system for a patient with heart failure.
5. A provider removes the previously placed lead and inserts a new lead for a synchronized diaphragmatic stimulation system using a laparoscopic technique.
6. A laparoscopic procedure is performed to replace the first lead of a synchronized diaphragmatic stimulation system for a patient with heart failure.
7. A provider performs a laparoscopic insertion of the first lead of a synchronized diaphragmatic stimulation system to augment cardiac function in a patient with heart failure.
8. A laparoscopic procedure is performed to connect the first lead of a synchronized diaphragmatic stimulation system to an existing pulse generator for a patient with heart failure.
9. A provider inserts the first lead of a synchronized diaphragmatic stimulation system using a laparoscopic approach to improve cardiac function in a patient with heart failure.
10. A laparoscopic replacement of the first lead of a synchronized diaphragmatic stimulation system is performed to enhance cardiac function in a patient with heart failure.