2025 CPT code 0677T
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiology - Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and Leads Category III Codes Feed
Laparoscopic repositioning of a diaphragmatic lead in a permanent implantable synchronized diaphragmatic stimulation system for cardiac function augmentation, including connection to an existing pulse generator; first lead.
Modifiers may be applicable depending on the circumstances of the procedure. Consult the CPT manual for guidance on appropriate modifier use.
Medical necessity is established when the patient has heart failure and an existing implantable synchronized diaphragmatic stimulation system with a malpositioned lead that is impacting the device's ability to effectively support cardiac function. Documentation should support the clinical need for repositioning.
The clinical responsibility lies with a cardiologist or cardiac surgeon. This includes pre-operative assessment, performing the laparoscopic repositioning of the lead, ensuring proper connection to the pulse generator, and post-operative monitoring.Device interrogation and programming may also be part of the physician's responsibility.
- Category III Codes
- Category III Codes > Insertion, Replacement, Repositioning, Removal and Evaluation of Diaphragmatic Stimulation System and Leads
In simple words: The doctor uses a small incision and a thin tube with a camera (laparoscope) to move a wire (lead) on the diaphragm muscle. This wire is part of a device that helps the heart work better. The doctor connects the wire to an existing device under the skin and may also check and adjust its settings.
This CPT code encompasses the laparoscopic repositioning of the first lead of a permanent implantable synchronized diaphragmatic pacing system.The procedure involves using a laparoscopic approach to reposition the lead on the diaphragm, ensuring its connection to a pre-existing pulse generator. The system aims to enhance cardiac function by providing synchronized diaphragmatic stimulation.Additional procedures such as device interrogation and programming may be included.
Example 1: A patient with heart failure has an existing diaphragmatic pacing system, but the lead has shifted, reducing its effectiveness.The cardiologist performs a laparoscopic repositioning (0677T) to optimize the device’s function., During a routine check-up, a patient's diaphragmatic pacing system is found to have a malpositioned lead. The cardiologist schedules a laparoscopic repositioning (0677T) and then performs device interrogation and programming to fine-tune the settings., A patient experiences complications following the initial implantation of a diaphragmatic pacing system, requiring laparoscopic repositioning of the lead (0677T) to address the problem. Additional codes may be required based on the specifics of the procedure.
Detailed preoperative assessment and evaluation of the patient's cardiac condition.Imaging studies (e.g., fluoroscopy) to visualize lead placement. Operative report detailing the laparoscopic procedure, including the repositioning technique and verification of lead connection. Post-operative device interrogation and programming data.Any relevant imaging studies or diagnostic testing done after the procedure to confirm placement.
** This is a Category III temporary code intended for data collection.It may be archived after five years or converted to a Category I code.
- Revenue Code: This information is not available in provided sources.
- RVU: This information is not available in provided sources. RVUs are dependent on numerous factors and vary regionally.
- Global Days: This information is not available in provided sources.The global period is not specified for this Category III code.
- Payment Status: Active
- Modifier TC rule: This information is not available in provided sources. The application of TC modifiers typically isn't relevant for Category III codes.
- Fee Schedule: This information is not available in provided sources. Fee schedules for Category III codes are not readily available in the same manner as for Category I codes.
- Specialties:Cardiology, Cardiac Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center