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The CPT® Code 0795T refers to the transcatheter insertion of a permanent dual-chamber leadless pacemaker, which is a sophisticated medical device designed to regulate heart rhythms. A leadless pacemaker is a compact pulse generator that contains an integrated battery and electrode, eliminating the need for traditional leads that connect the pacemaker to the heart. This procedure is particularly beneficial for patients suffering from conditions such as sinus node dysfunction, where the heart's natural pacemaker fails to function properly, and atrioventricular (AV) block, which disrupts the electrical signals between the atria and ventricles of the heart. The dual-chamber system allows for more precise pacing by addressing both the right atrium and right ventricle, thereby improving cardiac function and patient outcomes. Before the insertion of the pacemaker, surface EKG electrodes or programming leads may be placed on the patient's chest to monitor heart activity and facilitate programming of the device. The procedure begins with the preparation of the groin area, where the femoral vein is accessed to allow for the introduction of the pacemaker. Imaging guidance techniques, such as fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, and femoral venography, may be employed to visualize the anatomy and ensure accurate placement of the device. The entire process includes device evaluation, which may involve interrogation or programming of the pacemaker to confirm its functionality. This comprehensive approach ensures that the complete system, consisting of both the right atrial and right ventricular components, is successfully implanted and functioning as intended.
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The transcatheter insertion of a permanent dual-chamber leadless pacemaker is indicated for patients with specific cardiac conditions that necessitate pacing intervention. These indications include:
The procedure for the transcatheter insertion of a permanent dual-chamber leadless pacemaker involves several critical steps to ensure successful implantation:
After the procedure, patients are typically monitored for any immediate complications and to ensure the pacemaker is functioning as intended. Post-procedure care may include instructions on activity restrictions, wound care, and follow-up appointments for device interrogation and programming adjustments. Patients may also be advised on signs of potential complications, such as infection or device malfunction, that warrant immediate medical attention. The expected recovery period may vary based on individual patient factors and the complexity of the procedure.
| Short Descr | TCAT INS 2CHMBR LDLS PM CMPL | Medium Descr | TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS | Long Descr | Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; complete system (ie, right atrial and right ventricular pacemaker components) | Status Code | Carriers Price the Code | Global Days | YYY - Carrier Determines Whether Global Concept Applies | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard 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) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 2 - Co-surgeons permitted and no documentation required if the two- specialty requirement is met. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is a primary code that can be used with these additional add-on codes.
| 93662 | Addon Code MPFS Status: Carrier Priced APC N PUB 100 CPT Assistant Article Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AO | Alternate payment method declined by provider of service | GC | This service has been performed in part by a resident under the direction of a teaching physician | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study |
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| 2024-01-01 | Added | First appearance in code book. |
| 2023-07-01 | Added | Code added. |
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