CPT® Code 0774T

Add-On Code

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 in the following scenarios:

• Pain Management VR procedural dissociation is employed to help manage acute or chronic pain associated with various medical interventions.
• Anxiety Reduction It is utilized to alleviate anxiety in patients who may be apprehensive about undergoing procedures, thereby improving their overall experience.
• Anesthesia Replacement In certain cases, VR can serve as an alternative to traditional anesthesia, particularly in procedures such as burn treatment and interventional radiology.
• Specialty Procedures The technique is applicable in diverse specialties, including orthopedic, gastroenterology, and dermatology, where patient comfort is paramount.

2. Procedure

The procedural steps for administering VR procedural dissociation services are as follows:

• Step 1: Patient Preparation Prior to the procedure, the patient is assessed for their suitability for VR dissociation. This includes evaluating their medical history, current condition, and any potential contraindications to VR use.
• Step 2: Equipment Setup A head-mounted display unit is prepared and adjusted to fit the patient comfortably. The unit is designed to provide an immersive experience by occluding the patient's surroundings.
• Step 3: Program Initiation The VR software is launched, presenting the patient with a carefully selected immersive environment. This may include three-dimensional images, sounds, and interactive elements tailored to distract from the procedure.
• Step 4: Monitoring Throughout the duration of the VR experience, the healthcare professional monitors the patient’s response to ensure comfort and effectiveness. Adjustments to the VR environment may be made as needed.
• Step 5: Transition to Procedure Once the patient is adequately engaged in the VR experience, the healthcare provider performing the primary procedure can begin their work, with the VR dissociation supporting the patient’s comfort.

3. Post-Procedure

After the completion of the procedure, the patient is gradually transitioned out of the VR experience. The healthcare professional assesses the patient's recovery from both the procedure and the VR dissociation. It is important to monitor for any immediate post-procedural effects, including pain levels and anxiety. Patients may require additional support or follow-up care depending on their individual responses and the nature of the procedure performed. Documentation of the VR dissociation service, including the total time spent in the VR environment, is essential for accurate billing and reimbursement.