Case2Code

Official Description

Therapeutic induction of intra-brain hypothermia, including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head, including monitoring (eg, vital signs and sport concussion assessment tool 5 [SCAT5]), 30 minutes of treatment

Common Language Description

Therapeutic induction of intra-brain hypothermia is a specialized medical procedure aimed at reducing brain damage in patients suffering from concussion or traumatic brain injury. This innovative therapy utilizes a mechanical temperature-controlled cooling device designed to fit over the patient's head and neck. The device provides precise and constant cooling to the head and the carotid arteries, which are critical for supplying blood to the brain. The procedure begins with the careful placement of the cooling garment, ensuring it is securely fitted to maximize its effectiveness. Following this, the cooling mode is activated, allowing the patient to acclimate to the lower temperature for a brief period of 10 to 12 minutes. Once the target temperature, typically around 42 to 43 degrees Fahrenheit, is achieved, the treatment commences. The cooling device is programmed to maintain this therapeutic temperature for a duration of 30 minutes, during which continuous monitoring of vital signs and assessments, such as the Sport Concussion Assessment Tool 5 (SCAT5), are conducted to ensure patient safety and treatment efficacy.

1. Indications

The therapeutic induction of intra-brain hypothermia is indicated for patients experiencing specific conditions related to brain injury. The primary indications for this procedure include:

Concussion A mild traumatic brain injury characterized by a temporary loss of normal brain function, often resulting from a blow to the head.
Traumatic Brain Injury (TBI) A more severe form of brain injury that can result from various causes, including falls, vehicle accidents, or sports-related incidents, leading to significant neurological impairment.

2. Procedure

The procedure for therapeutic induction of intra-brain hypothermia involves several critical steps to ensure effective treatment and patient safety. These steps include:

Step 1: Patient Preparation The patient is positioned comfortably, and the cooling garment is prepared for application. This garment is specifically designed to fit securely over the head and around the neck, ensuring optimal contact with the skin for effective cooling.
Step 2: Application of the Cooling Device The cooling device is carefully placed on the patient, covering the head and neck areas. This placement is crucial as it targets the carotid arteries, which supply blood to the brain, facilitating the cooling process.
Step 3: Acclimation Period Once the device is in place, the cooling mode is activated, allowing the patient to acclimate to the cooler temperature for a period of 10 to 12 minutes. This step is essential to prepare the patient's body for the therapeutic cooling.
Step 4: Initiation of Cooling Treatment After the acclimation period, the device is set to reach the desired therapeutic temperature, typically around 42 to 43 degrees Fahrenheit. The treatment clock is then initiated for a duration of 30 minutes, during which the cooling temperature is consistently maintained.
Step 5: Monitoring Throughout the 30-minute treatment period, the patient's vital signs are continuously monitored. Additionally, assessments such as the Sport Concussion Assessment Tool 5 (SCAT5) are performed to evaluate the patient's neurological status and ensure safety during the procedure.

3. Post-Procedure

After the completion of the therapeutic induction of intra-brain hypothermia, the cooling device is removed, and the patient is monitored for any immediate effects or complications. It is essential to continue observing the patient's vital signs and neurological status to assess recovery and response to the treatment. Further evaluations may be conducted to determine the effectiveness of the procedure and to plan any necessary follow-up care or interventions. The patient may require additional support or rehabilitation depending on the severity of the initial injury and their overall condition.

Short Descr	THER INDCTJ NTRABRN HYPTHRM
Medium Descr	THERAPEUTIC INDUCTION OF INTRA-BRAIN HYPOTHERMIA
Long Descr	Therapeutic induction of intra-brain hypothermia, including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head, including monitoring (eg, vital signs and sport concussion assessment tool 5 [SCAT5]), 30 minutes of treatment
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	Non-Covered Service, not paid under OPPS
Berenson-Eggers TOS (BETOS)	none
MUE	1