CPT® Code 0417T

Official Description

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, implantable cardiac contractility modulation system

Common Language Description

The CPT® Code 0417T refers to the programming device evaluation of an implantable cardiac contractility modulation (CCM) system, which is conducted in person by a physician or qualified healthcare professional. This evaluation involves an iterative adjustment of the device to ensure its proper functioning and to determine the optimal permanent programmed values for the patient. The CCM system is designed to enhance cardiac function in patients with heart failure by modulating the contractility of the heart muscle. During the evaluation, the healthcare provider assesses the device's performance, utilizing data collected from the patient's home charger, which includes a memory card that stores information about the CCM implant's activity. This process not only involves testing the device but also includes a comprehensive analysis and review of the stored data, culminating in a written report that details the findings and any adjustments made to the device settings. The goal of this evaluation is to optimize the therapeutic benefits of the CCM system for the patient.

1. Indications

The programming device evaluation using CPT® Code 0417T is indicated for patients who have an implantable cardiac contractility modulation (CCM) system. This procedure is performed to monitor the functionality of the device and to select the optimal permanent programmed values necessary for effective treatment. The evaluation is particularly relevant for patients experiencing heart failure, as the CCM system aims to improve cardiac contractility and overall heart function.

Heart Failure Patients diagnosed with heart failure who require monitoring and adjustment of their CCM system to enhance cardiac function.

2. Procedure

The procedure for the programming device evaluation involves several key steps to ensure the effective assessment and adjustment of the implantable CCM system.

Step 1: In-Person Evaluation The healthcare provider conducts an in-person evaluation of the patient, during which they assess the patient's overall health status and the performance of the CCM device. This step is crucial for establishing a baseline for the evaluation.
Step 2: Data Collection The provider reviews the data collected from the patient's home charger, which includes a memory card that stores information about the CCM implant's activity. This data is essential for understanding how the device has been functioning since the last evaluation.
Step 3: Iterative Adjustment Based on the data analysis, the healthcare provider makes iterative adjustments to the settings of the implantable device. This process involves fine-tuning the programmed values to optimize the device's performance for the individual patient's needs.
Step 4: Review and Report After adjustments are made, the provider conducts a thorough review of the findings and prepares a written report. This report documents the evaluation process, the adjustments made, and any recommendations for future monitoring or follow-up.

3. Post-Procedure

Post-procedure care following the programming device evaluation typically involves monitoring the patient for any immediate effects of the adjustments made to the CCM system. Patients may be advised to continue using their home charger and to report any unusual symptoms or device malfunctions. Follow-up appointments may be scheduled to reassess the device's performance and make further adjustments as necessary. The healthcare provider will also discuss the importance of adherence to the prescribed therapy and any lifestyle modifications that may support the overall management of heart failure.

Short Descr	PRGRMG EVAL CARDIAC MODULJ
Medium Descr	PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM
Long Descr	Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, implantable cardiac contractility modulation system
Status Code	Carriers Price the Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51)	6 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic cardiovascular services 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)	P2E - Major procedure, cardiovascular-Pacemaker insertion
MUE	1

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.