2025 CPT code 0520T
(Revised) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiology - Cardiac Device Implantation, Analysis, Relocation and Removal Procedures Category III Codes Feed
Removal and replacement of a wireless cardiac stimulator's pulse generator battery for left ventricular pacing, including device interrogation and programming.
Modifiers may be applicable depending on the circumstances of the procedure.Consult the CPT manual for appropriate modifier use.
Medical necessity is established by the patient's clinical presentation, including evidence of battery depletion or malfunction of the wireless cardiac stimulator, resulting in inadequate left ventricular pacing and potential for hemodynamic compromise.Documentation of this is crucial for reimbursement.
The cardiologist or cardiac surgeon is responsible for the complete procedure, including incision, battery removal and replacement, device reconnection, programming, and closure. Anesthesiologist may be involved for patient sedation or anesthesia.
- Category III Codes
- Category III Codes > Cardiac Device Implantation, Analysis, Relocation and Removal Procedures
In simple words: The doctor removes and replaces the battery in a device that helps the heart beat regularly. This device is implanted in the chest and helps the left side of the heart pump blood. The doctor also checks the device's settings and makes sure it's working correctly.
This CPT code, 0520T, describes the removal and replacement of the battery component of a wireless cardiac stimulator's pulse generator used for left ventricular pacing.The procedure includes device interrogation and programming to ensure proper functionality and settings post-replacement.The electrode component of the stimulator is not replaced or removed during this procedure.All necessary imaging and guidance are considered inclusive within this code.
Example 1: A 72-year-old male patient with a history of heart failure and reduced left ventricular function has a wireless cardiac stimulator implanted.After two years, the battery needs replacement. Code 0520T is used to bill for this procedure., A 68-year-old female patient presents with a malfunctioning pulse generator battery in her wireless cardiac stimulator. The battery is replaced under local anesthesia. The device is interrogated and reprogrammed after replacement. 0520T is the appropriate code., An 80-year-old patient with a history of multiple cardiac events requiring a wireless cardiac stimulator system experiences battery depletion.Surgical removal and replacement of the battery component of the pulse generator with subsequent device interrogation and reprogramming is performed.
Preoperative assessment, including patient history, physical examination, and imaging studies (such as echocardiography); operative report detailing the procedure; device interrogation and programming data; postoperative assessment and follow-up.
** This code is a Category III CPT code and is temporary. The code may be revised or deleted in the future. Always refer to the most current CPT manual for the most accurate information.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: Data not available in provided source.RVUs are determined by several factors, including geographic location and payer.
- Global Days : Global period information not specified in the source. Further clarification is needed from additional resources.
- Payment Status: Active
- Modifier TC rule: Technical component (TC) modifier is not directly applicable. The code encompasses the entire procedure.
- Fee Schedule : Historical fee schedule data is not provided in the source. This will vary by location and payer.
- Specialties:Cardiology, Cardiac Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center