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Official Description

Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 0716T refers to a procedure known as cardiac acoustic waveform recording, which involves the automated analysis and generation of a coronary artery disease (CAD) risk score. This innovative method utilizes advanced sensors to detect heart sounds and analyze them to assess a patient's risk of obstructive coronary artery disease. The procedure is performed by attaching sensors externally to the patient's chest, specifically positioned to capture sounds generated by blood flow turbulence in the coronary arteries during diastole. Diastole is the phase of the cardiac cycle when the heart muscle relaxes, allowing the heart chambers to fill with blood. The device employs an automated algorithm to process the recorded sounds and calculate the patient's risk of CAD. During the procedure, the patient lies supine, and an adhesive sensor is affixed to the chest, typically to the left of the sternum at the fourth intercostal space. The patient is instructed to hold their breath for eight seconds, repeating this four times, while the heart sounds are recorded. Following the completion of the recordings, the CAD risk score is generated immediately. This test is characterized by its non-invasive nature and absence of radiation exposure, making it a safe option for patients. It is particularly useful in clinical settings to help rule out obstructive coronary artery disease in individuals presenting with symptoms such as shortness of breath.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The cardiac acoustic waveform recording procedure is indicated for patients who present with symptoms suggestive of obstructive coronary artery disease (CAD). The following conditions may warrant the use of this test:

  • Shortness of Breath Patients experiencing unexplained shortness of breath may be evaluated for CAD risk using this non-invasive method.

2. Procedure

The procedure for cardiac acoustic waveform recording involves several key steps that ensure accurate assessment of the patient's risk for obstructive coronary artery disease.

  • Step 1: Patient Preparation The patient is positioned supine, lying on their back to facilitate optimal sensor placement and sound detection. This position is crucial for the accurate recording of heart sounds.
  • Step 2: Sensor Placement An adhesive sensor is carefully attached to the patient's chest, specifically to the left of the sternum at the fourth intercostal space. This location is strategically chosen to capture the heart sounds effectively.
  • Step 3: Sound Recording The patient is instructed to hold their breath for eight seconds, repeating this process four times. During these intervals, the device records the heart sounds, focusing on the turbulence caused by blood flow in the coronary arteries during diastole.
  • Step 4: Risk Score Calculation Once the recordings are complete, the automated algorithm within the device analyzes the captured sounds and calculates the patient's risk score for coronary artery disease. This score is generated immediately after the recording session.

3. Post-Procedure

After the cardiac acoustic waveform recording procedure, there are minimal post-procedure care requirements due to its non-invasive nature. Patients can typically resume their normal activities immediately following the test. The results, including the CAD risk score, are usually discussed with the patient shortly after the procedure, allowing for timely clinical decision-making. There are no specific recovery protocols or restrictions associated with this test, making it a convenient option for both patients and healthcare providers.

Short Descr CAR ACOUS WAVFRM REC CAD RSK
Medium Descr CARDIAC ACOUS WAVFRM REC AUTO ALYS CAD RSK SCORE
Long Descr Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 3 - Technical Component Only Code
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 Procedure or Service, Not Discounted when Multiple
Berenson-Eggers TOS (BETOS) none
MUE 1
59 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.
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
Action
Notes
2023-01-01 Added First appearance in codebook.
2022-07-01 Added Code added.
Code
Description
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