CPT® Code 0223T | Case2Code

Code deleted, to report see 93799

Official Description

Acoustic cardiography, including automated analysis of combined acoustic and electrical intervals; single, with interpretation and report

Common Language Description

Acoustic cardiography is an advanced diagnostic technology utilized primarily in the evaluation and management of patients with heart failure, as well as those undergoing cardiac resynchronization therapy (CRT) optimization. This innovative procedure integrates the automated recording and analysis of both acoustic heart sounds and electrical intervals from the heart, providing a comprehensive assessment of cardiac function. During the procedure, two single-channel sound sensors are strategically positioned at the V3 and V4 locations on the chest, while two ECG electrodes are placed to capture a single-channel electrocardiogram (ECG) for precise timing. The acoustic cardiography device is then activated to record heart sounds and electrical activity over a 10-second interval. The collected data undergoes automatic analysis, with results displayed on a computer monitor for further evaluation. This technology is capable of delivering a thorough analysis of the heart's hemodynamic performance, including the assessment of left ventricular function, filling patterns, pressures, and ejection fractions. Additionally, it plays a crucial role in monitoring cardiac dyssynchrony during CRT, allowing for the evaluation of atrioventricular (AV) and interventricular (VV) delays. For patients receiving CRT, the device can be reprogrammed to assess various delay settings, enhancing the customization of therapy. The procedure is coded as 0223T for a single study, while codes 0224T and 0225T are designated for multiple studies with specific reprogramming and evaluation parameters. Each procedure includes a physician's interpretation and a written report detailing the findings.

1. Indications

Acoustic cardiography is indicated for the following conditions and scenarios:

Heart Failure Diagnosis and Management Acoustic cardiography is utilized in the diagnosis and ongoing management of patients suffering from heart failure, providing critical insights into cardiac function.
Cardiac Resynchronization Therapy (CRT) Optimization This procedure is performed on patients undergoing CRT to optimize therapy settings and improve cardiac performance.
Assessment of Left Ventricular Function The technology aids in evaluating the left ventricular function, which is essential for understanding the overall cardiac health of the patient.
Monitoring Cardiac Dyssynchrony Acoustic cardiography is effective in monitoring any dyssynchrony in cardiac contractions, which is crucial for patients receiving CRT.
Evaluation of Atrioventricular (AV) and Interventricular (VV) Delays The procedure allows for the assessment of AV and VV delays, which can impact the effectiveness of cardiac therapies.

2. Procedure

The procedure for acoustic cardiography involves several key steps that ensure accurate data collection and analysis:

Step 1: Patient Preparation The patient is positioned comfortably, and the skin is prepared for electrode placement to ensure optimal contact and signal quality.
Step 2: Electrode Placement Two single-channel sound sensors are placed at the V3 and V4 positions on the chest. Additionally, two ECG electrodes are positioned to capture a single-channel ECG, which is essential for timing the acoustic data.
Step 3: Device Activation The acoustic cardiography device is activated, initiating the recording of heart sounds and electrical activity simultaneously for a duration of 10 seconds.
Step 4: Data Recording During the 10-second interval, the device captures both the acoustic signals and the ECG data, ensuring a comprehensive dataset for analysis.
Step 5: Data Analysis The recorded data is automatically analyzed by the device, which processes the information to assess various cardiac parameters, including left ventricular function and filling patterns.
Step 6: Result Display The results of the analysis are displayed on a computer monitor, allowing for immediate review and interpretation by the physician.
Step 7: Interpretation and Reporting A physician interprets the findings and generates a written report, summarizing the results and any recommendations for further management or therapy adjustments.

3. Post-Procedure

After the acoustic cardiography procedure, patients may be monitored briefly to ensure there are no immediate adverse effects. The physician will review the results and discuss the findings with the patient, including any necessary adjustments to treatment plans based on the analysis. Follow-up appointments may be scheduled to reassess cardiac function and monitor the effectiveness of any changes made to therapy, particularly for those undergoing CRT. It is essential for patients to adhere to any prescribed follow-up care and to report any new symptoms or concerns to their healthcare provider promptly.

Short Descr	ACOUSTIC ECG W/I&R
Medium Descr	ACOUSTIC CARDIOGRAPHY W/INTERPRETATION & REPORT
Long Descr	Acoustic cardiography, including automated analysis of combined acoustic and electrical intervals; single, with interpretation and report
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
Type of Service (TOS)	4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS)	P6D - Minor procedures - other (non-Medicare fee schedule)
MUE	Not applicable/unspecified.
CCS Clinical Classification	202 - Electrocardiogram