CPT® Code 0773T

1. Indications

The use of virtual reality (VR) procedural dissociation services is indicated for patients experiencing pain and anxiety during medical, surgical, or radiological procedures. This technique is particularly beneficial for individuals who may require an alternative to traditional anesthesia methods. The following conditions and scenarios may warrant the application of VR procedural dissociation:

• Pain Management Patients undergoing procedures that are known to cause significant discomfort or pain may benefit from VR dissociation to help alleviate their experience.
• Anxiety Reduction Individuals with heightened anxiety levels related to medical interventions can utilize VR to create a calming distraction, thereby improving their overall procedural experience.
• Burn Treatment Patients receiving treatment for burns may find VR helpful in managing the pain associated with wound care and other related procedures.
• Interventional Radiology Procedures in this specialty often involve discomfort; VR can assist in reducing patient anxiety and pain during these interventions.
• Orthopedic Procedures Patients undergoing orthopedic surgeries or treatments may use VR to enhance their comfort and reduce anxiety levels.
• Gastroenterology Procedures VR can be employed to help manage discomfort and anxiety during various gastroenterological interventions.
• Dermatology Procedures Patients receiving dermatological treatments may benefit from the distraction provided by VR during potentially uncomfortable procedures.

2. Procedure

The procedure for administering virtual reality (VR) procedural dissociation involves several key steps to ensure effective implementation and patient comfort. The following outlines the procedural steps:

• Step 1: Patient Preparation Prior to the procedure, the patient is assessed for their suitability for VR dissociation. This includes evaluating their age, understanding of the procedure, and any specific needs or concerns they may have. The healthcare provider explains the VR experience to the patient, ensuring they are comfortable and aware of what to expect.
• Step 2: Equipment Setup The VR equipment, including the head-mounted display and any necessary software, is prepared and tested to ensure functionality. The healthcare provider ensures that the environment is conducive to the VR experience, minimizing distractions and ensuring patient safety.
• Step 3: VR Experience Initiation Once the patient is ready, the head-mounted unit is placed over their eyes. The VR program is initiated, presenting immersive three-dimensional images, sounds, and interactive elements designed to engage the patient and divert their attention from the procedure.
• Step 4: Monitoring During Intraservice Time Throughout the initial 15 minutes of intraservice time, the healthcare professional monitors the patient’s response to the VR experience. This includes observing their comfort level, anxiety, and pain perception, making adjustments as necessary to enhance the effectiveness of the VR dissociation.
• Step 5: Conclusion of VR Session After the designated time has elapsed, the VR experience is concluded. The head-mounted display is removed, and the healthcare provider assesses the patient’s overall experience, discussing any feedback and preparing them for the subsequent medical, surgical, or radiological procedure.

3. Post-Procedure

Following the administration of virtual reality procedural dissociation, the patient may require some time to transition back to their surroundings. It is important for the healthcare provider to ensure that the patient feels comfortable and is adequately prepared for the upcoming procedure. The provider should assess the patient's emotional and physical state, addressing any lingering anxiety or discomfort. Additionally, the provider may offer further support or resources if the patient expresses a need for additional assistance. Documentation of the VR dissociation service, including the duration and patient response, should be completed to ensure accurate billing and compliance with procedural standards.