How To Use CPT Code 0716T

CPT 0716T describes the cardiac acoustic waveform recording with automated analysis and generation of a coronary artery disease risk score. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0716T?

CPT 0716T can be used to describe the cardiac acoustic waveform recording with automated analysis and generation of a coronary artery disease risk score. This code is used when a provider uses a device to record heart sounds, analyzes them, and generates a risk score for coronary artery disease.

2. Official Description

The official description of CPT code 0716T is: ‘Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score.’

3. Procedure

1. The provider prepares the patient for the cardiac acoustic waveform recording.
2. A device is used to record heart sounds, and the provider attaches a component to the device for comfortable placement on the patient.
3. The provider marks and preps the target site on the patient’s chest.
4. The device is placed on the patient’s chest with a sensor on the marked target site.
5. The provider starts recording the heart sounds, instructing the patient to hold their breath at specific intervals if necessary.
6. After recording, the device analyzes the data using specific algorithms to identify abnormal sounds.
7. Based on the analysis and the patient’s demographic and health information, the device generates the patient’s coronary artery disease risk score.
8. The provider removes the device from the patient’s chest.

4. Qualifying circumstances

Patients eligible to receive CPT 0716T services are those who require a cardiac acoustic waveform recording with automated analysis and generation of a coronary artery disease risk score. This procedure is typically performed for patients suspected or at risk of coronary artery disease. The provider must use a device capable of recording heart sounds and generating the risk score.

5. When to use CPT code 0716T

CPT code 0716T should be used when a provider performs a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score. This code is appropriate for patients who require evaluation for coronary artery disease based on their symptoms, medical history, or risk factors.

6. Documentation requirements

To support a claim for CPT 0716T, the provider must document the following information:

• Patient’s symptoms, medical history, or risk factors warranting the procedure
• Details of the cardiac acoustic waveform recording procedure
• Specific algorithms used for automated analysis
• Patient’s demographic and health information used for risk score calculation
• Resulting coronary artery disease risk score
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 0716T, ensure that the provider performs the cardiac acoustic waveform recording with automated analysis and generation of a coronary artery disease risk score. This code should be reported when the procedure is performed, and there are no specific guidelines regarding reporting with other codes.

8. Historical information

CPT 0716T was added to the Current Procedural Terminology system on July 1, 2022. There have been no updates to the code since its addition.

9. Examples

1. A cardiologist performs a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score for a patient with chest pain.
2. A primary care physician orders a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score for a patient with multiple risk factors for coronary artery disease.
3. An interventional cardiologist performs a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score for a patient prior to a planned angioplasty procedure.
4. A cardiovascular surgeon requests a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score for a patient being evaluated for potential bypass surgery.
5. A nurse practitioner performs a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score for a patient with a family history of coronary artery disease.
6. A cardiac technician conducts a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score for a patient participating in a research study on heart disease.
7. A physician assistant performs a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score for a patient with unexplained shortness of breath.
8. A cardiovascular specialist performs a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score for a patient with abnormal electrocardiogram (ECG) findings.
9. A cardiac nurse conducts a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score for a patient with a history of heart attack.
10. An electrophysiologist performs a cardiac acoustic waveform recording with automated analysis and generates a coronary artery disease risk score for a patient with palpitations and arrhythmias.