How To Use CPT Code 0680T

CPT 0680T describes the insertion or replacement of a pulse generator for a synchronized diaphragmatic stimulation system that augments 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 0680T?

CPT 0680T can be used to describe the insertion or replacement of a pulse generator for a synchronized diaphragmatic stimulation system that is designed to augment cardiac function in patients with heart failure. This code is used when the provider performs the procedure to connect the pulse generator to existing lead(s) in the patient’s body.

2. Official Description

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

3. Procedure

1. The provider prepares the patient for the procedure, ensuring that they are appropriately prepped and anesthetized.
2. An incision is made in the abdomen, and a small pocket is created under the skin.
3. The pulse generator of the synchronized diaphragmatic stimulation system is placed in the pocket.
4. The provider connects the pulse generator to the existing lead(s) that are already in place.
5. If this is a replacement procedure, the provider may also remove the previous pulse generator.
6. The pocket is closed, completing the procedure.
7. The provider may also perform interrogation and programming of the device as part of this procedure.

4. Qualifying circumstances

CPT 0680T is performed on patients who have heart failure and require augmentation of cardiac function through a synchronized diaphragmatic stimulation system. The procedure is performed by a qualified provider who inserts or replaces the pulse generator and connects it to existing lead(s) in the patient’s body.

5. When to use CPT code 0680T

CPT code 0680T should be used when the provider performs the insertion or replacement of a pulse generator for a synchronized diaphragmatic stimulation system that augments cardiac function. It is important to note that this code should not be used in conjunction with codes 0674T to 0685T, as they are related to different aspects of the same system.

6. Documentation requirements

To support a claim for CPT code 0680T, the provider must document the following information:

• Patient’s diagnosis and the need for augmentation of cardiac function
• Details of the procedure, including the insertion or replacement of the pulse generator and connection to existing lead(s)
• Date and duration of the procedure
• Any additional services performed, such as interrogation and programming of the device
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 0680T, ensure that the procedure involves the insertion or replacement of a pulse generator for a synchronized diaphragmatic stimulation system. It is important to follow the guidelines and not report this code in conjunction with codes 0674T to 0685T. Additionally, it is recommended to review the tips provided for reporting CPT code 0680T accurately.

8. Historical information

CPT code 0680T 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 inserts a pulse generator for a synchronized diaphragmatic stimulation system in a patient with heart failure.
2. A patient requires the replacement of a pulse generator for their existing synchronized diaphragmatic stimulation system, and the provider performs the procedure.
3. A provider connects a pulse generator to existing lead(s) in a patient’s body to augment their cardiac function using a synchronized diaphragmatic stimulation system.
4. A patient with heart failure undergoes the insertion of a pulse generator for a synchronized diaphragmatic stimulation system to improve their cardiac function.
5. A provider replaces the pulse generator of a synchronized diaphragmatic stimulation system in a patient with heart failure, ensuring the connection to existing lead(s) is established.
6. A patient’s synchronized diaphragmatic stimulation system requires the insertion of a pulse generator, and the provider performs the procedure to connect it to existing lead(s) for augmentation of cardiac function.
7. The replacement of a pulse generator for a synchronized diaphragmatic stimulation system is performed by a provider in a patient with heart failure.
8. A provider connects a pulse generator to existing lead(s) in a patient’s body to enhance their cardiac function using a synchronized diaphragmatic stimulation system.
9. A patient with heart failure undergoes the insertion of a pulse generator for a synchronized diaphragmatic stimulation system, ensuring the connection to existing lead(s) is established.
10. A provider replaces the pulse generator of a synchronized diaphragmatic stimulation system in a patient with heart failure, connecting it to existing lead(s) for augmentation of cardiac function.