CPT® Code 0559T

Official Description

Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure

Common Language Description

The CPT® Code 0559T refers to the creation of a three-dimensional (3D) printed anatomic model derived from image data sets. This procedure involves the first individually prepared and processed component of an anatomic structure, which is crucial for surgical planning and decision-making. The 3D-printed models serve as a tangible representation of complex anatomical features, allowing surgeons to visualize and analyze the specific structures they will encounter during surgery. By providing a physical model, surgeons can better anticipate the angles, contours, and depths of the anatomy, which ultimately contributes to a safer surgical outcome. These models can represent various anatomical components, including bony structures, vascular systems such as arteries and veins, nerves, muscles, tendons, ligaments, joints, visceral organs, and even intricate structures like the heart or brain. The preparation of these models involves a meticulous process where imaging data is reviewed to ensure accuracy, and dedicated software is utilized to create a design file compatible with 3D printing technology. The choice of materials and colors for the model is also an important consideration, as it can enhance the visualization of the anatomy. Following the printing process, the model undergoes cleaning and final consultations are held to discuss any limitations and to review the anatomical relationships depicted by the model. This comprehensive approach ensures that the 3D model is not only a valuable tool for pre-surgical planning but also a precise representation of the patient's unique anatomy.

1. Indications

The 3D-printed anatomic models created under CPT® Code 0559T are indicated for use in various surgical planning scenarios. These indications include:

Complex Anatomy Visualization 3D models are utilized to help surgeons visualize complex anatomical structures that may be difficult to interpret through traditional imaging alone.
Pre-Surgical Planning The models assist in pre-surgical decision-making by allowing surgeons to anticipate the specific requirements and challenges they may face during the procedure.
Educational Purposes These models can also serve as educational tools for both surgical teams and patients, enhancing understanding of the surgical approach and anatomy involved.
Specific Conditions Conditions such as tumors in the kidney, congenital scoliosis, and vascular anomalies like a double aortic arch are examples where 3D models can provide critical insights for surgical intervention.

2. Procedure

The procedure for creating a 3D-printed anatomic model involves several detailed steps, which are as follows:

Step 1: Imaging Data Acquisition Initially, previously acquired imaging data, such as CT or MRI scans, is reviewed to determine if it is sufficient for creating an accurate 3D model of the specific anatomy in question.
Step 2: Data Preparation The imaging data is then processed using dedicated software to create a computer design file that is compatible with the 3D printer. This step is crucial as it ensures that the model accurately reflects the anatomical structures.
Step 3: Material and Color Selection After the design file is prepared, the appropriate materials and colors for the model are selected. This selection can enhance the visualization of different anatomical components.
Step 4: 3D Printing The model is set to print using a 3D printer, which constructs the model layer by layer based on the design file created in the previous step.
Step 5: Post-Printing Cleaning Once the printing process is complete, the model undergoes a cleaning process to remove any residual materials and ensure that it is ready for use.
Step 6: Final Consultation A final consultation is conducted to discuss any limitations of the printed model, and photographs are taken for documentation. The surgeon and/or radiologist can then review the anatomical relationships demonstrated by the model.

3. Post-Procedure

After the creation of the 3D-printed anatomic model, several post-procedure considerations are important. The model serves as a reference for the surgical team, allowing them to review the anatomical relationships and plan the surgical approach effectively. It is essential to discuss any limitations of the model during the final consultation, as this can impact surgical strategies. The model may also be used for educational purposes, helping to inform both the surgical team and the patient about the procedure. Additionally, the model can be stored for future reference or used in subsequent consultations if needed.

Short Descr	ANTMC MDL 3D PRINT 1ST CMPNT
Medium Descr	ANATOMIC MODEL 3D PRINTED 1ST COMPNT ANTMC STRUX
Long Descr	Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure
Status Code	Carriers Price the Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	STV-Packaged Codes
Berenson-Eggers TOS (BETOS)	none
MUE	1

This is a primary code that can be used with these additional add-on codes.

0560T

Add-on Code MPFS Status: Carrier Priced APC N Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code for primary procedure)

76	Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
GC	This service has been performed in part by a resident under the direction of a teaching physician
GW	Service not related to the hospice patient's terminal condition
GY	Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
MG	The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional