How To Use CPT Code 0726T

CPT 0726T describes the removal of an implanted vestibular device on one side of the patient’s head. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0726T?

CPT 0726T can be used to describe the removal of an implanted vestibular device on one side of the patient’s head. This code is used when the provider removes the device that was previously implanted to help restore lost vestibular function, which includes balance and related issues.

2. Official Description

The official description of CPT code 0726T is the removal of an implanted vestibular device, unilateral. It is important to note that this code should not be reported in conjunction with other specific codes related to vestibular device procedures.

3. Procedure

1. When the patient is appropriately prepped and anesthetized, the provider performs the removal of the implanted vestibular device.
2. The process may vary depending on the specific system used. It may involve removing electrodes that were previously placed in the balance organ of the inner ear near the vestibular nerves.
3. The provider may make an incision behind the ear to access the mastoid bone and expose the target area of the electrodes. Alternatively, they may go through the ear canal or use other approaches, including removing the retrieving/sending device located under the skin on the side of the skull.
4. The device being removed is part of a vestibular device system, which may include external sensors worn on the patient’s head. These sensors measure head movements and send the information to a processor for transformation into electrical pulses.
5. A wireless signal then sends the electrical pulses to the electrodes, which stimulate the nerves inside the balance organ. This helps transmit the head movement information to the brain for processing, aiding in the restoration of balance and stabilization of vision during body movement.
6. In some cases, the patient may wear a processor behind the ear that allows them to activate the implanted device when they experience a vertigo attack.

4. Qualifying circumstances

Patients who have an implanted vestibular device and require its removal are eligible for CPT 0726T. This procedure is typically performed to address issues related to balance and vestibular function. It is important to note that this code should not be reported with specific codes related to vestibular device procedures, as mentioned in the official description.

5. When to use CPT code 0726T

CPT code 0726T should be used when a provider performs the removal of an implanted vestibular device on one side of the patient’s head. It is important to ensure that the procedure meets the specific criteria outlined in the code description and that it is not reported in conjunction with other specific codes related to vestibular device procedures.

6. Documentation requirements

To support a claim for CPT 0726T, the provider must document the following information:

• Indication for the removal of the implanted vestibular device
• Details of the specific system and components being removed
• Date of the procedure
• Procedure start and end times
• Approach used for the removal
• Any additional relevant details or complications encountered during the procedure
• Provider’s signature

7. Billing guidelines

When billing for CPT 0726T, ensure that the procedure meets the criteria outlined in the code description. It should be reported as a unilateral (one-sided) service. Additionally, do not report this code in conjunction with other specific codes related to vestibular device procedures. It is important to review and follow any additional guidelines or tips provided by the payer or coding resources to ensure accurate billing.

8. Historical information

CPT 0726T was added to the Current Procedural Terminology system on July 1, 2022. As of now, there have been no updates or changes to the code since its addition.

9. Examples

1. A provider removes an implanted vestibular device on one side of the patient’s head to address balance issues.
2. During the procedure, the provider accesses the mastoid bone through an incision behind the ear and removes the electrodes connected to the balance organ.
3. Another provider removes the retrieving/sending device located under the skin on the side of the patient’s skull as part of the vestibular device removal.
4. A patient who previously had an implanted vestibular device has it removed due to complications or the need for an updated device.
5. A provider performs the removal of an implanted vestibular device as part of a planned revision surgery to address changes in the patient’s condition.
6. During the removal procedure, the provider encounters unexpected complications that require additional interventions or modifications to the planned approach.
7. A patient who no longer requires the implanted vestibular device undergoes the removal procedure to discontinue its use.
8. The provider removes the implanted vestibular device as part of a research study or clinical trial evaluating the device’s efficacy and safety.
9. A patient experiences adverse effects or complications related to the implanted vestibular device, leading to the decision for its removal.
10. A provider performs the removal of an implanted vestibular device on one side of the patient’s head to address persistent balance issues despite previous interventions.