CPT® Code 0225T | Case2Code

Code deleted, to report see 93799

Official Description

Acoustic cardiography, including automated analysis of combined acoustic and electrical intervals; multiple, including serial trended analysis and limited reprogramming of device parameter, AV and VV delays, 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 placed in the V3 and V4 positions on the chest, alongside two ECG electrodes that capture a single-channel ECG for precise timing. The acoustic cardiography device is then activated to record sound and electrical activity over a 10-second interval. The collected data undergoes automatic analysis, with results displayed on a computer monitor for immediate interpretation. This technology is capable of delivering a thorough analysis of the heart's hemodynamic performance, including evaluations 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 assessment of atrioventricular (AV) and interventricular (VV) delays. For patients receiving CRT, the device can be reprogrammed to adjust various delay settings, enhancing the customization of treatment. It is important to note that the procedure encompasses physician interpretation and the generation of a written report detailing the findings, ensuring that healthcare providers have access to critical information for patient management.

1. Indications

The indications for performing acoustic cardiography include the following:

Heart Failure Diagnosis and Management Acoustic cardiography is utilized in the diagnosis and ongoing management of patients suffering from heart failure, providing essential data for treatment decisions.
Cardiac Resynchronization Therapy (CRT) Optimization This procedure is indicated for patients undergoing CRT, as it aids in optimizing device settings to improve cardiac function.
Assessment of Hemodynamic Function The technology is employed to assess various aspects of hemodynamic function, including left ventricular function, filling patterns, pressures, and ejection fractions.
Monitoring Cardiac Dyssynchrony Acoustic cardiography is indicated for monitoring any cardiac dyssynchrony during CRT, which is critical for ensuring effective therapy.

2. Procedure

The procedure for acoustic cardiography involves several key steps, which are detailed as follows:

Step 1: Patient Preparation The patient is positioned comfortably, and the skin is prepared for electrode placement. Two single-channel sound sensors are placed in the V3 and V4 positions on the chest to capture heart sounds accurately. Additionally, two ECG electrodes are positioned to provide a single-channel ECG for timing purposes.
Step 2: Device Activation Once the sensors and electrodes are in place, the acoustic cardiography device is activated. This device is designed to record both sound and electrical activity from the heart simultaneously.
Step 3: Data Recording The device records the acoustic and electrical data over a 10-second interval. This short recording period is sufficient to capture the necessary information for analysis.
Step 4: Automated Analysis After the recording is complete, the data undergoes automated analysis. The system processes the recorded information to evaluate various cardiac parameters, including hemodynamic function and any potential dyssynchrony.
Step 5: Result Display The results of the analysis are displayed on a computer monitor, allowing for immediate review by the healthcare provider. This display includes critical metrics related to the patient's cardiac function.
Step 6: Interpretation and Reporting Finally, the physician interprets the results and generates a written report detailing the findings. This report is essential for guiding further management and treatment decisions for the patient.

3. Post-Procedure

Post-procedure care for patients undergoing acoustic cardiography typically involves monitoring for any immediate reactions to the procedure, although it is generally non-invasive and well-tolerated. Patients may resume normal activities shortly after the procedure, as there are no significant recovery requirements. The physician will review the findings from the report and discuss any necessary follow-up actions or adjustments to treatment plans based on the results of the acoustic cardiography. Continuous monitoring and evaluation may be recommended, especially for patients undergoing CRT, to ensure optimal device settings and cardiac function.

Short Descr	ACOUSTIC ECG ANALY & REPROG
Medium Descr	ACOUSTIC CARDIOGRAPHY MULT ALYS W/I&R & REPROG
Long Descr	Acoustic cardiography, including automated analysis of combined acoustic and electrical intervals; multiple, including serial trended analysis and limited reprogramming of device parameter, AV and VV delays, 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)	none
MUE	Not applicable/unspecified.
CCS Clinical Classification	202 - Electrocardiogram