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The procedure described by CPT® Code 0682T involves the removal of a pulse generator that is part of a permanent implantable synchronized diaphragmatic stimulation (SDS) system. This system is designed to augment cardiac function, particularly in patients suffering from moderate to severe heart failure while maintaining preserved ventricular synchrony. The SDS system works by stimulating the diaphragm in synchronization with the cardiac cycle, which helps modify chest pressure. This modification facilitates better filling and emptying of the heart, ultimately improving blood flow without placing additional stress on the heart muscle. The device itself 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 impulses to stimulate a specific area of the diaphragm, which does not interfere with normal breathing. The procedure for removing the pulse generator is indicated when there is a need to discontinue the use of the device without replacing it. This may occur due to various reasons, including complications or the decision to cease therapy. It is important to note that this code specifically pertains to the removal of the pulse generator only, without any replacement or relocation of the device.
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The removal of the pulse generator for a permanent implantable synchronized diaphragmatic stimulation system, as described by CPT® Code 0682T, is indicated in specific clinical scenarios. These indications may include:
The procedure for the removal of the pulse generator involves several critical steps to ensure safety and effectiveness. The following procedural steps are outlined:
Post-procedure care following the removal of the pulse generator involves monitoring the surgical site for any signs of infection or complications. Patients are typically advised to keep the area clean and dry, and to follow any specific instructions provided by their healthcare provider regarding activity restrictions and wound care. Recovery may vary depending on the individual, but patients should be informed about potential symptoms to watch for, such as increased pain, swelling, or redness at the incision site. Follow-up appointments may be scheduled to assess healing and address any concerns that may arise after the procedure.
| Short Descr | REMOVAL PULSE GEN ONLY ISDSS | Medium Descr | REMOVAL PULSE GENERATOR ONLY ISDSS | Long Descr | Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function | 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 | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
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| 2022-01-01 | Added | Code added |
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