How To Use CPT Code 0677T

CPT 0677T describes the laparoscopic repositioning 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 0677T?

CPT 0677T can be used to describe the laparoscopic repositioning of the first lead of a synchronized diaphragmatic stimulation system for augmentation of cardiac function. This code is used when the provider uses a laparoscopic approach to reposition the lead on the underside of the diaphragm and connect it to an existing pulse generator.

2. Official Description

The official description of CPT code 0677T is: ‘Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse generator; first repositioned lead.’

3. Procedure

1. The provider prepares the patient for the laparoscopic procedure and administers anesthesia.
2. One or more small incisions are made to insert a laparoscope, a tubular surgical instrument that allows the provider to view the interior of the abdomen.
3. Using laparoscopic tools, the provider repositions the first lead on the underside of the diaphragm, which separates the lungs from the stomach area.
4. After repositioning the lead, the provider removes the laparoscope.
5. The provider ensures that the lead is properly connected to an existing pulse generator.
6. The provider may perform interrogation and programming of the device.
7. The synchronized diaphragmatic stimulation system uses small shocks from the lead electrodes to stimulate the diaphragm below the heart.
8. The stimulation is synchronized with the cardiac cycle and aims to improve filling and emptying of the heart in patients with heart failure.

4. Qualifying circumstances

CPT 0677T is used for patients with heart failure who require the repositioning of the first lead of a synchronized diaphragmatic stimulation system. The procedure must be performed using a laparoscopic approach, and the lead must be connected to an existing pulse generator.

5. When to use CPT code 0677T

CPT code 0677T should be used when a provider performs the laparoscopic repositioning of the first lead of a synchronized diaphragmatic stimulation system for augmentation of cardiac function. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 0677T, the provider must document the following information:

• Patient’s diagnosis and indication for the laparoscopic repositioning of the lead
• Description of the laparoscopic procedure performed
• Details of the repositioning of the lead on the underside of the diaphragm
• Confirmation of the connection between the lead and an existing pulse generator
• Interrogation and programming of the device, if performed
• Explanation of the synchronized diaphragmatic stimulation system and its intended purpose
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 0677T, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately report the laparoscopic repositioning of the first lead of a synchronized diaphragmatic stimulation system. Additional tips for reporting CPT 0677T may be available from coding resources or professional organizations.

8. Historical information

CPT 0677T 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 repositioning of the first lead of a synchronized diaphragmatic stimulation system for augmentation of cardiac function in a patient with heart failure.
2. Using a laparoscopic approach, a provider repositions the first lead of a synchronized diaphragmatic stimulation system in a patient with heart failure and connects it to an existing pulse generator.
3. A laparoscopic procedure is performed to reposition the first lead of a synchronized diaphragmatic stimulation system for augmentation of cardiac function in a patient with heart failure.
4. In a patient with heart failure, a provider uses a laparoscopic approach to reposition the first lead of a synchronized diaphragmatic stimulation system and ensure its connection to an existing pulse generator.
5. The laparoscopic repositioning of the first lead of a synchronized diaphragmatic stimulation system is performed in a patient with heart failure to augment cardiac function.
6. A provider utilizes a laparoscopic technique to reposition the first lead of a synchronized diaphragmatic stimulation system for augmentation of cardiac function in a patient with heart failure.
7. In a patient with heart failure, a laparoscopic procedure is performed to reposition the first lead of a synchronized diaphragmatic stimulation system and connect it to an existing pulse generator.
8. A provider performs the laparoscopic repositioning of the first lead of a synchronized diaphragmatic stimulation system in a patient with heart failure, aiming to improve cardiac function.
9. Using a laparoscopic approach, a provider repositions the first lead of a synchronized diaphragmatic stimulation system for augmentation of cardiac function in a patient with heart failure.
10. A laparoscopic procedure is performed to reposition the first lead of a synchronized diaphragmatic stimulation system in a patient with heart failure, aiming to enhance cardiac function.