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BETA v.3.0

2025 CPT code 0531T

Removal of intracardiac ischemia monitoring system, including all imaging supervision and interpretation; electrode only

In simple words: The doctor removes the wire part of a heart monitor that helps detect problems with blood flow to the heart. This procedure is done using imaging to guide the removal, and the cost of this code includes all the imaging and supervision involved.

The provider withdraws the electrode (lead) component of an intracardiac ischemia monitoring system under imaging guidance. This code covers all imaging supervision and interpretation.

Example 1: A patient with a history of acute coronary syndrome had an intracardiac ischemia monitoring system implanted. Due to device complications, the physician decides to remove the electrode component of the system under fluoroscopic guidance., A patient experiences lead migration of their intracardiac ischemia monitoring system. The physician removes the migrated electrode lead, using imaging guidance to ensure safe extraction., A patient develops an infection at the site of the implanted electrode lead of their ischemia monitoring system. The physician removes the infected electrode, using imaging to guide the procedure and minimize complications.

Documentation should include details about the reason for removal, the method used for lead extraction, the type of imaging guidance used (e.g. fluoroscopy, ultrasound), and any complications encountered during the procedure. Confirmation of the electrode removal should also be documented.

** This code specifically describes removal of only the electrode component of the system. Other codes exist for removing the complete system or other components.

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