How To Use CPT Code 0682T

CPT 0682T describes the procedure for the removal of the pulse generator in a synchronized diaphragmatic stimulation system used to augment cardiac function in patients with heart failure. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0682T?

CPT 0682T can be used to describe the removal of the pulse generator in a synchronized diaphragmatic stimulation system. This system is implanted in patients with heart failure to help augment cardiac function. The code specifically applies to the removal of the pulse generator only.

2. Official Description

The official description of CPT code 0682T is: ‘Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function.’

3. Procedure

1. The provider prepares the patient for the procedure, ensuring they are appropriately prepped and anesthetized.
2. An incision is made to access the subcutaneous pocket where the pulse generator is located.
3. The provider carefully removes the pulse generator from the pocket, disconnecting the leads if necessary.
4. The subcutaneous pocket is then closed.

4. Qualifying circumstances

CPT 0682T is used when the patient has a permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function. The procedure involves the removal of the pulse generator only. It should not be reported in conjunction with other codes related to the insertion, replacement, repositioning, removal, or evaluation of the diaphragmatic stimulation system and leads.

5. When to use CPT code 0682T

CPT code 0682T should be used when the provider is performing the specific procedure of removing the pulse generator in a synchronized diaphragmatic stimulation system. It should not be used for any other procedures or components of the system.

6. Documentation requirements

To support a claim for CPT 0682T, the provider must document the following information:

• Patient’s diagnosis and the need for removal of the pulse generator
• Date of the procedure
• Details of the procedure, including the incision, removal of the pulse generator, and closure of the subcutaneous pocket
• Any complications or additional procedures performed during the same session
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 0682T, ensure that the procedure involves the removal of the pulse generator only. Do not report this code in conjunction with other codes related to the diaphragmatic stimulation system and leads. It is important to follow the specific guidelines and tips provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 0682T 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 removes the pulse generator from a synchronized diaphragmatic stimulation system in a patient with heart failure.
2. During a scheduled procedure, the pulse generator of a synchronized diaphragmatic stimulation system is removed from a patient with heart failure.
3. A patient undergoes a surgical procedure to remove the pulse generator in their synchronized diaphragmatic stimulation system for augmentation of cardiac function.
4. The provider performs the removal of the pulse generator in a synchronized diaphragmatic stimulation system as part of a patient’s treatment for heart failure.
5. During a follow-up visit, the provider determines that the pulse generator in the synchronized diaphragmatic stimulation system needs to be removed, and the procedure is performed.
6. A patient with heart failure undergoes a surgical procedure to remove the pulse generator in their synchronized diaphragmatic stimulation system.
7. The provider removes the pulse generator from a synchronized diaphragmatic stimulation system in a patient who no longer requires the device for augmentation of cardiac function.
8. During a revision surgery, the pulse generator in a synchronized diaphragmatic stimulation system is removed from a patient with heart failure.
9. A patient with heart failure undergoes a procedure to remove the pulse generator in their synchronized diaphragmatic stimulation system as part of their ongoing care.
10. The provider performs the removal of the pulse generator in a synchronized diaphragmatic stimulation system to address complications or device malfunction in a patient with heart failure.