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The CPT® Code 0695T refers to a specialized procedure known as body surface-activation mapping (BSAM) of pacemaker or pacing cardioverter-defibrillator lead(s). This procedure is performed to optimize electrical synchrony in patients undergoing cardiac resynchronization therapy (CRT). The primary goal of BSAM is to enhance the effectiveness of CRT by allowing for individualized programming of the CRT device, which is crucial for minimizing electrical dyssynchrony within the heart. During this procedure, a body surface-activation mapping system is utilized, which typically employs between 64 to 120 electrodes strategically placed to cover a larger area of the torso compared to a standard 12-lead electrocardiogram (ECG). These electrodes are incorporated into a vest that is worn by the patient, with a conducting gel applied to the chest and back to ensure accurate data collection. The information gathered from this mapping provides comprehensive insights into the distribution of electrocardiac activity, specifically focusing on the QRS, ST, and T potentials on the body surface. The activation time is determined by measuring the interval from the onset of the QRS complex to the steepest negative slope, allowing for the creation of detailed body surface maps that illustrate activation times. These maps are instrumental in assessing and addressing changes in electrical dyssynchrony, with specific parameters such as the standard deviation of activation times (SDAT) and the average left thorax activation time (LVAT) being utilized to optimize the placement of the left ventricular lead and the programming of the CRT device. Notably, the application of BSAM can lead to significant improvements in ventricular activation time, potentially enhancing it by up to 46% compared to standard pacing settings. The code 0695T should be reported when body surface activation mapping is conducted, including the review and report, at the time of CRT device implantation or replacement.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure associated with CPT® Code 0695T is indicated for patients who require optimization of their cardiac resynchronization therapy (CRT) device. The following conditions or symptoms may warrant the use of body surface-activation mapping:
The procedure for body surface-activation mapping involves several key steps to ensure accurate assessment and optimization of the CRT device:
Post-procedure care following body surface-activation mapping involves monitoring the patient for any immediate reactions to the procedure. Patients may be advised to rest and avoid strenuous activities for a short period. The results from the mapping will guide the programming of the CRT device, and follow-up appointments may be scheduled to evaluate the effectiveness of the adjustments made. It is essential for healthcare providers to communicate the findings and any necessary changes in therapy to the patient to ensure optimal management of their heart condition.
| Short Descr | BDY SRF MPG PM/CVDFB TM IMPL | Medium Descr | BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM IMPLT | Long Descr | Body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, cardiac resynchronization therapy device, including connection, recording, disconnection, review, and report; at time of implant or replacement | 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 | Items and Services Packaged into APC Rates | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
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| 2022-01-01 | Added | Code added |
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