Effective October 1, 2011, a new procedure code (38.26) has been created to identify the insertion of an implantable pressure sensor without lead for intracardiac or great vessel hemodynamic monitoring.
This is a new hemodynamic monitoring system in which one component of the system is implantable; only the sensor is implanted in a great vessel. An external monitor is used to communicate wirelessly with the sensor. These devices are used to treat heart failure. During this procedure, the delivery system is inserted over a guidewire and advanced to the selected pulmonary artery branch. The sensor/monitor is implanted and the delivery catheter is withdrawn, leaving the guidewire in place. The balloon catheter is reinserted over the guidewire into the pulmonary artery and the guidewire is removed. Readings are taken simultaneously via the SG balloon catheter and the implant for calibration. Once the sensor/monitor is calibrated, the SG balloon catheter is removed and the 11 French sheath is then removed. An external patient console transmits the pulmonary artery pressure information and cardiac output from the patient's home to the treating physician. This data allows the physician to detect and manage the patient's condition and prevent deterioration resulting in hospitalization.
New code 38.26 Insertion of implantable pressure sensor without lead for intracardiac or great vessel hemodynamic monitoring Note: The sensor is a standalone device and is not physically connected to a separately implanted monitor. Leadless pressure sensor not physically connected to a separately implanted monitor Single device combination leadless pressure sensor with integral monitor for intracardiac or great vessel (or branch thereof) hemodynamic monitoring With or without internal batteries Without leads Excludes: circulatory monitoring (blood gas, arterial or venous pressure, cardiac output and coronary blood flow) (89.60-89.69) hemodynamic monitoring system with sensor and separately implanted monitor (00.56â€“00.57) insertion or replacement of implantable pressure sensor with lead for intracardiac or great vessel hemodynamic monitoring (00.56)