The CardioMEMSTM HF System is a system that measures and monitors the pressure in the pulmonary artery (PA) and also the heart rate in heart failure patients. The system consists of: implantable PA sensor, delivery system, and Patient Electronics System. The PA sensor is permanently placed in the pulmonary artery via a right heart catheterization. It is about the size of a small paper clip and does not require any batteries or wires. Which CPT code would be more appropriate, code 93799, Unlisted cardiovascular service or procedure, or code 33999, Unlisted procedure, cardiac surgery?
Based on the documentation submitted, the entire procedure was performed via a right heart catheterization and the pulmonary artery sensor was implanted into the pulmonary artery. Therefore, for facility reporting under the OPPS report HCPCS code C2624, Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components, and HCPCS code C9741, Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report, for the CardioMEMS™ HF System and the cardiac catheterization performed.
For non-OPPS reporting, since there is no specific CPT code that describes the insertion of the CardioMEMSTM HF System, assign CPT code 93799, Unlisted cardiovascular service or procedure.
Additionally, it would be inappropriate to report CPT code 33999, Unlisted procedure, cardiac surgery, in this case because actual cardiac surgery was not performed.