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Official Description

Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal prosthesis), in person, with iterative adjustment of the implantable device to test functionality, select optimal permanent programmed values with analysis, including visual training, with review and report by a qualified health care professional

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 0472T refers to the process of evaluating, interrogating, and initially programming an intraocular retinal electrode array, commonly known as a retinal prosthesis. This procedure is conducted in person and involves a series of iterative adjustments to the implantable device to ensure its functionality. The retinal prosthesis operates by delivering electrical impulses through a micro-photodiode array or micro-electrode array, which is designed to treat profound vision loss. This treatment is particularly beneficial for patients suffering from conditions such as retinitis pigmentosa and age-related macular degeneration, where traditional vision restoration methods may not be effective. The procedure not only includes the initial programming of the device but also encompasses a thorough analysis to select the optimal permanent programmed values tailored to the patient's needs. Additionally, visual training is provided to help the patient adapt to the device, ensuring they can maximize its benefits. A qualified healthcare professional is responsible for reviewing the results and providing a comprehensive report on the device's performance and the patient's progress.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 0472T is indicated for patients experiencing profound vision loss due to specific ocular conditions. The following conditions are explicitly recognized as suitable for this procedure:

  • Retinitis Pigmentosa A genetic disorder that leads to the degeneration of the retina, resulting in progressive vision loss.
  • Age-Related Macular Degeneration A common eye condition among older adults that leads to the deterioration of the macula, affecting central vision.

2. Procedure

The procedure for CPT® Code 0472T involves several critical steps to ensure the effective evaluation and programming of the retinal prosthesis. Each step is designed to optimize the functionality of the device and enhance the patient's visual experience.

  • Step 1: Device Evaluation The healthcare professional begins by conducting a thorough evaluation of the retinal prosthesis. This includes assessing the device's current settings and functionality to determine the necessary adjustments required for optimal performance.
  • Step 2: Interrogation of the Device Following the evaluation, the device is interrogated to gather data on its operational status. This step involves using specialized equipment to communicate with the implantable device, allowing the clinician to identify any issues that may affect its performance.
  • Step 3: Initial Programming Once the evaluation and interrogation are complete, the initial programming of the retinal prosthesis is performed. This step involves setting the device to specific parameters that are tailored to the individual patient's needs, ensuring that the electrical impulses delivered are appropriate for their condition.
  • Step 4: Iterative Adjustment The healthcare professional then makes iterative adjustments to the device. This process includes testing the functionality of the device in real-time, allowing for immediate modifications to be made based on the patient's responses and feedback.
  • Step 5: Selection of Optimal Permanent Programmed Values After testing, the clinician selects the optimal permanent programmed values for the device. This selection is based on the analysis of the adjustments made during the iterative testing phase, ensuring that the settings will provide the best possible visual outcomes for the patient.
  • Step 6: Visual Training The final step involves providing visual training to the patient. This training is essential for helping the patient adapt to the retinal prosthesis, as it teaches them how to interpret the visual signals generated by the device effectively.

3. Post-Procedure

After the procedure associated with CPT® Code 0472T, patients may require follow-up appointments to monitor the performance of the retinal prosthesis and make any necessary adjustments. The healthcare professional will review the patient's progress and the effectiveness of the device in improving their vision. Ongoing visual training may also be recommended to further enhance the patient's ability to utilize the device effectively. It is important for patients to report any issues or concerns regarding the device's functionality during these follow-up visits to ensure optimal outcomes.

Short Descr PRGRMG IO RTA ELTRD RA
Medium Descr DEV INTERR PRGRMG IO RTA ELTRD RA W/ADJ & REPRT
Long Descr Device evaluation, interrogation, and initial programming of intraocular retinal electrode array (eg, retinal prosthesis), in person, with iterative adjustment of the implantable device to test functionality, select optimal permanent programmed values with analysis, including visual training, with review and report by a qualified health care professional
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator STV-Packaged Codes
Berenson-Eggers TOS (BETOS) none
MUE 1
Date
Action
Notes
2018-01-01 Added First appearance in code book
2018-01-01 Changed Code description changed.
2017-07-01 Added Code added.
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