How To Use CPT Code 64582

CPT 64582 describes the open implantation of a hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 64582?

CPT 64582 can be used to describe the open implantation of a hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array. This procedure is performed to treat sleep apnea, a condition where breathing stops intermittently during sleep. The hypoglossal nerve, which innervates the tongue, is targeted to activate the muscles of the upper airway and keep it open during sleep.

2. Official Description

The official description of CPT code 64582 is: ‘Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An incision is made to access the hypoglossal nerve, which innervates the tongue.
3. An electrode array is inserted around the nerve.
4. Another incision is made, typically in the chest, to create a pocket for the pulse generator.
5. A lead is passed subcutaneously from the area near the jaw, where the electrodes are located, to the generator pocket.
6. A distal respiratory sensor electrode or electrode array is placed, usually lower in the chest.
7. A respiration sensing lead connects the distal respiratory sensor to the pulse generator.
8. The electrodes are secured to the nerve, and the leads are attached to the pulse generator.
9. The pulse generator delivers a signal to the electrode array at the hypoglossal nerve during each breath, activating the upper airway muscles to keep the airway open during sleep.
10. The system is tested, and if successful, the pulse generator is secured into the pocket, and the wounds are closed.

4. Qualifying circumstances

CPT 64582 is performed on patients with sleep apnea, a condition characterized by intermittent breathing cessation during sleep. The procedure targets the hypoglossal nerve, which innervates the tongue, to stimulate the upper airway muscles and keep the airway open. This procedure is typically performed by a qualified healthcare professional with expertise in neurostimulation techniques.

5. When to use CPT code 64582

CPT code 64582 should be used when an open implantation of a hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array is performed to treat sleep apnea. It is important to ensure that the procedure meets the specific requirements outlined in the code description.

6. Documentation requirements

To support a claim for CPT 64582, the healthcare provider must document the following information:

• Patient’s diagnosis of sleep apnea
• Details of the procedure, including the specific implants used
• Date of the procedure
• Start and end time of the procedure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 64582, ensure that the procedure meets the specific requirements outlined in the code description. It is important to accurately document the procedure and any additional services provided. CPT code 64582 should not be reported with other codes unless they are distinct and separate procedures performed during the same session.

8. Historical information

CPT 64582 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 patient with sleep apnea undergoes an open implantation of a hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode to improve their breathing during sleep.
2. A healthcare provider performs an open implantation of a hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode on a patient with severe sleep apnea to alleviate their symptoms.
3. During the procedure, the provider carefully implants the hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode to ensure optimal functioning and effectiveness in treating the patient’s sleep apnea.
4. A qualified healthcare professional performs an open implantation of a hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode on a patient with moderate sleep apnea to improve their quality of sleep and overall well-being.
5. The procedure involves the precise placement of the hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode to stimulate the upper airway muscles and maintain an open airway during sleep for a patient with sleep apnea.
6. A healthcare provider performs an open implantation of a hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode on a patient with sleep apnea to reduce the frequency of breathing interruptions during sleep.
7. The procedure involves the careful insertion and attachment of the hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode to ensure proper functioning and optimal treatment outcomes for a patient with sleep apnea.
8. A qualified healthcare professional performs an open implantation of a hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode on a patient with severe sleep apnea to improve their breathing and overall sleep quality.
9. The procedure involves the precise placement and secure attachment of the hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode to effectively treat the patient’s sleep apnea and alleviate their symptoms.