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The procedure described by CPT® Code 0412T involves the removal of a permanent cardiac contractility modulation (CCM) system, specifically focusing on the pulse generator component. The CCM system is utilized in patients suffering from moderate to severe chronic heart failure, a condition characterized by the heart's inability to pump blood effectively. This system works by generating electrical impulses during the absolute refractory period of the cardiac cycle, which enhances the contractility of the heart muscle. Importantly, these impulses are non-excitatory, meaning they do not alter the heart's rhythm but rather modulate the strength of the muscle contractions. The removal of the pulse generator requires a surgical incision to access the device, which is then disconnected from its electrodes and extracted from the body. Following the removal, the incision is typically closed with sutures to ensure proper healing. This procedure is distinct from other related procedures, such as the removal of the transvenous electrodes or the replacement of the pulse generator, which involve additional steps and considerations.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure associated with CPT® Code 0412T is indicated for patients who have a permanent cardiac contractility modulation (CCM) system in place and require the removal of the pulse generator due to various reasons. These reasons may include device malfunction, infection, or the need for system upgrades. The CCM system is specifically designed for individuals with moderate to severe chronic heart failure, where enhancing cardiac contractility can significantly impact the patient's quality of life and overall health management.
The procedure for the removal of the pulse generator under CPT® Code 0412T involves several critical steps to ensure safety and effectiveness. First, the patient is positioned appropriately, and the surgical site is prepared and sterilized to minimize the risk of infection. An incision is then made in the skin to access the pulse generator device. This incision is typically made in a location that allows for optimal exposure to the device while minimizing scarring. Once the pulse generator is exposed, the surgeon carefully disconnects it from the electrodes that are implanted in the heart. This disconnection is crucial as it ensures that the electrodes remain in place for any future procedures or replacements. After the pulse generator is successfully removed, the surgical team closes the incision with sutures, ensuring that the site is secure and will heal properly. Post-operative care is then initiated to monitor the patient for any complications and to support recovery.
After the removal of the pulse generator, patients are typically monitored for any immediate post-operative complications, such as bleeding or infection at the incision site. Pain management is also addressed, and patients may be prescribed analgesics to manage discomfort. Instructions for care of the incision site are provided, including keeping the area clean and dry, and recognizing signs of infection. Follow-up appointments are usually scheduled to assess the healing process and to determine if any further interventions, such as the placement of a new pulse generator or additional cardiac support, are necessary. Patients are advised to report any unusual symptoms, such as increased pain, swelling, or fever, to their healthcare provider promptly.
| Short Descr | RMVL CARDIAC MODULJ PLS GEN | Medium Descr | REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY | Long Descr | Removal of permanent cardiac contractility modulation system; pulse generator only | 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 | T-Packaged Codes | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Berenson-Eggers TOS (BETOS) | P2E - Major procedure, cardiovascular-Pacemaker insertion | MUE | 1 |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2017-01-01 | Added | First appearance in codebook. |
| 2016-01-01 | Added | Added |
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