© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 0680T involves the insertion or replacement of a pulse generator as part of a permanent implantable synchronized diaphragmatic stimulation (SDS) system. This advanced medical device is specifically designed to augment cardiac function, particularly in patients suffering from moderate to severe heart failure while maintaining preserved ventricular synchrony. The SDS system operates by stimulating the diaphragm in synchronization with the cardiac cycle, which helps modify chest pressure. This modification facilitates improved filling and emptying of the heart, ultimately enhancing blood flow without placing additional stress on the heart muscle itself. The system comprises two bipolar active fixation leads that are implanted on the underside of the diaphragm, a pulse generator, and programming software. The pulse generator is responsible for sending small electrical shocks to stimulate a targeted area of the diaphragm, ensuring that normal breathing is not affected. A subcutaneous pocket is created in the abdominal area to securely house the pulse generator, which continuously monitors cardiac activity. It is important to note that this code specifically pertains to the insertion or replacement of the pulse generator only, with the connection to existing leads already in place, thereby streamlining the procedure for patients who have previously undergone implantation of the SDS system.
© Copyright 2025 Coding Ahead. All rights reserved.
The insertion or replacement of a pulse generator for a permanent implantable synchronized diaphragmatic stimulation (SDS) system is indicated for patients experiencing moderate to severe heart failure with preserved ventricular synchrony. This procedure is particularly beneficial for individuals whose cardiac function can be augmented through diaphragmatic stimulation, thereby improving overall cardiac output and quality of life.
The procedure for the insertion or replacement of the pulse generator involves several critical steps to ensure proper implantation and functionality of the synchronized diaphragmatic stimulation system.
Post-procedure care involves monitoring the patient for any signs of complications, such as infection or discomfort at the incision site. Patients may be advised to avoid strenuous activities for a specified period to allow for proper healing. Follow-up appointments are essential to assess the functionality of the SDS system and to make any necessary adjustments to the programming of the pulse generator. Additionally, patients should be educated on signs of potential complications and the importance of adhering to follow-up care to ensure the long-term success of the implanted device.
| Short Descr | INSJ/RPLCMT PG ONLY ISDSS | Medium Descr | INSJ/RPLCMT PULSE GENERATOR ONLY ISDSS | Long Descr | Insertion or replacement of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing lead(s) | Status Code | Carriers Price the Code | Global Days | YYY - Carrier Determines Whether Global Concept Applies | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard 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) | 1 - Statutory 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 | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2022-01-01 | Added | Code added |
Get instant expert-level medical coding assistance.