CPT® Code 0771T

Official Description

Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the VR procedural dissociation supports, requiring the presence of an independent, trained observer to assist in the monitoring of the patient's level of dissociation or consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older

Common Language Description

Virtual reality (VR) procedural dissociation is a specialized technique utilized to assist in the management of pain and anxiety for patients undergoing various medical, surgical, or radiological procedures. This innovative approach may serve as an alternative to traditional anesthesia for a range of interventions, including but not limited to burn treatments, interventional radiology, and procedures within orthopedic, gastroenterology, or dermatology fields. The process involves the use of immersive and interactive VR experiences, which are delivered through a head-mounted display that is positioned over the patient's eyes. This device effectively creates a barrier to the external environment, allowing the patient to engage with a virtual setting that can distract from painful or anxiety-inducing stimuli. The VR software is designed to present three-dimensional images, accompanied by music and conversational elements, all aimed at enhancing the patient's sense of presence within the virtual world for a limited duration. This technique is applicable to both pediatric and adult populations. Importantly, when the same healthcare provider who is performing the diagnostic or therapeutic procedure also administers the VR dissociation service, the presence of an independent, trained observer is mandated. This observer is responsible for monitoring the patient's level of dissociation or consciousness, as well as their physiological status, ensuring that the patient remains safe and comfortable throughout the experience.

1. Indications

The use of virtual reality (VR) procedural dissociation services is indicated for patients experiencing pain and anxiety during medical, surgical, or radiological procedures. This technique is particularly beneficial for those who may require an alternative to traditional anesthesia methods. The following conditions and scenarios may warrant the application of VR procedural dissociation:

Pain Management Patients undergoing procedures that are likely to induce significant pain may benefit from VR dissociation to help alleviate discomfort.
Anxiety Reduction Individuals with heightened anxiety related to medical interventions can utilize VR to create a calming and immersive experience, reducing their stress levels.
Burn Treatment Patients receiving treatment for burns may find VR helpful in managing pain and anxiety during the procedure.
Interventional Radiology Procedures in interventional radiology can be anxiety-provoking; VR can assist in providing distraction and comfort.
Orthopedic Procedures Patients undergoing orthopedic interventions may use VR to enhance their experience and reduce perceived pain.
Gastroenterology Procedures VR can be employed to help manage discomfort and anxiety during gastroenterological examinations and treatments.
Dermatology Procedures Patients receiving dermatological treatments may also benefit from the immersive experience provided by VR.

2. Procedure

The procedure for administering VR procedural dissociation involves several key steps to ensure the patient's comfort and safety while effectively managing pain and anxiety. The following steps outline the process:

Step 1: Preparation Prior to the procedure, the healthcare provider prepares the VR equipment, ensuring that the head-mounted display is functioning correctly and that the software is loaded with appropriate immersive content tailored to the patient's needs.
Step 2: Patient Setup The patient is positioned comfortably, and the head-mounted unit is placed over their eyes. This setup is crucial for creating the immersive experience that will help distract the patient from the procedure.
Step 3: Initiation of VR Experience Once the patient is ready, the VR program is initiated. The software presents three-dimensional images, sounds, and interactive elements designed to engage the patient and divert their attention from the procedure.
Step 4: Monitoring An independent, trained observer is present throughout the VR experience to monitor the patient's level of dissociation, consciousness, and physiological status. This observer is responsible for making any necessary adjustments to the VR experience under the supervision of the healthcare provider.
Step 5: Duration of Service The initial intraservice time for VR procedural dissociation is 15 minutes, during which the patient is immersed in the virtual environment. If additional time is required, subsequent 15-minute increments can be billed using the appropriate CPT code.

3. Post-Procedure

After the VR procedural dissociation service is completed, the patient is gradually brought back to their baseline state. The healthcare provider and the independent observer will assess the patient's level of consciousness and overall physiological status to ensure they are stable and comfortable. It is important to provide the patient with a brief period to adjust back to their surroundings before proceeding with any further medical interventions. Additionally, the healthcare team should offer reassurance and support, addressing any questions or concerns the patient may have regarding their experience. Follow-up care may be necessary depending on the nature of the procedure performed and the patient's individual needs.

Short Descr	VR PX DISSOC SVC SM PHY 1ST
Medium Descr	VR PX DISSOC SVC SAME PHYS/QHP 1ST 15 MIN 5YR/>
Long Descr	Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the VR procedural dissociation supports, requiring the presence of an independent, trained observer to assist in the monitoring of the patient's level of dissociation or consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older
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	Non-Covered Service, not paid under OPPS
Berenson-Eggers TOS (BETOS)	none
MUE	1

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

0772T

Add-on Code MPFS Status: Carrier Priced APC E1 Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the VR procedural dissociation supports, requiring the presence of an independent, trained observer to assist in the monitoring of the patient's level of dissociation or consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)