2025 CPT code 33289
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures - Cardiovascular System Surgery Feed
Transcatheter implantation of a wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 59 for distinct procedural service, 78 for unplanned return to the operating room).
Implantation of a wireless pulmonary artery pressure sensor is medically necessary for patients with severe heart failure to enable continuous and remote monitoring of hemodynamic parameters, allowing for timely intervention and adjustment of therapies to prevent hospital readmissions and improve quality of life.
The physician is responsible for all aspects of the procedure, including patient preparation, catheter insertion and manipulation, sensor implantation and calibration, image acquisition and interpretation, and post-procedure care.
In simple words: A tiny wireless sensor is placed in a pulmonary artery to constantly monitor blood pressure in the lungs. This helps doctors manage heart failure. The procedure involves inserting thin tubes into blood vessels and using X-rays.
This CPT code encompasses the transcatheter implantation and calibration of a wireless pulmonary artery pressure sensor.The procedure includes right heart catheterization, selective pulmonary artery catheterization, radiological supervision and interpretation, and pulmonary artery angiography (when performed).The sensor facilitates long-term remote monitoring of pulmonary artery pressures, aiding in heart failure management.
Example 1: A 65-year-old male with severe heart failure is experiencing frequent hospitalizations due to fluid overload.The physician recommends implantation of a wireless pulmonary artery pressure sensor for continuous monitoring of hemodynamic parameters to guide therapy and prevent future hospitalizations., A 72-year-old female with a history of myocardial infarction and reduced ejection fraction is placed on a heart failure management program.As part of her treatment plan, the physician orders the implantation of a wireless pulmonary artery pressure sensor to closely monitor her hemodynamic status remotely and adjust medication accordingly., A 58-year-old patient with New York Heart Association class III heart failure is undergoing optimization of medical therapy.The physician uses a wireless pulmonary artery pressure sensor implanted via transcatheter approach to titrate medications and achieve optimal hemodynamic parameters.
* Pre-procedure assessment including patient history, physical examination, and review of relevant laboratory data.* Informed consent documentation.* Intra-operative notes documenting the catheterization, sensor implantation, calibration, and angiography findings.* Post-operative evaluation of the patient's condition.* Images showing the sensor placement.* Sensor activation and calibration data.
** This code represents a complex procedure requiring advanced technical skill and expertise in cardiac catheterization and interventional radiology.Accurate coding requires meticulous documentation of all procedural steps.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Cardiology, Cardiovascular Surgery, Interventional Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center