AMA CPT® Assistant - 2015 Issue 5 (May)
Pacemaker - Leadless and Pocketless System Codes (0387T-0391T) (May 2015)
May 2015 pages 3-5 Pacemaker - Leadless and Pocketless System Codes (0387T-0391T) The placement of pacemakers traditionally requires the insertion of transvenous leads into the heart, which are then tunneled under the skin subcutaneously and connected to a pacemaker generator that is typically placed into a surgically created pocket in the upper pectoral region. However, with new technological advancements, a new procedure has been developed for the percutaneous, transcatheter delivery of a self-contained intracardiac pacemaker. This procedure is significantly different from the procedures described by the Current Procedural Terminology (CPT®) codes for the insertion, repositioning, replacement, and removal...
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Article Overview
This May 2015 CPT Assistant article reviews the then-new CPT Category III leadless pacemaker system code family and the surrounding guidance for reporting related services. It is aimed at coders, billing staff, and clinical documentation reviewers who need to understand the scope of the code set, the types of procedures and device evaluations addressed, and how the article situates these services within CPT guidance.
Why This Topic Matters
Leadless pacemaker technology introduced a distinct coding concept separate from traditional transvenous and epicardial pacemaker procedures. Understanding the article helps coding professionals identify the relevant CPT Category III framework and recognize the broader service categories discussed in the official guidance.
Article Sections
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May 2015 pages 3-5
Introductory discussion of leadless pacemaker technology and how it differs from traditional pacemaker systems. The section frames the article’s purpose and the new CPT Category III code family.
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Category III Codes and Guidelines
Overview of the CPT Category III guidance for the leadless pacemaker system code family. This section discusses the code set’s publication context, service scope, and related guideline framework.
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Guidelines
General guidance on the components and service categories associated with the leadless pacemaker system. It addresses the types of device-related services covered by the article’s coding framework.
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Clinical Examples (0387T)
A representative transcatheter leadless pacemaker insertion example and its associated procedure narrative. The example illustrates the kind of clinical scenario discussed for this code family.
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Clinical Example (0388T)
A representative leadless pacemaker removal example and its associated procedure narrative. The example shows the type of removal scenario addressed in the article.
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Clinical Example (0389T)
A representative in-person device evaluation and programming example for a leadless pacemaker system. The section focuses on the kind of follow-up service described in the article.
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Clinical Example (0390T)
A representative peri-procedural device evaluation and programming example for a leadless pacemaker system. The section describes the type of perioperative service context covered by the article.
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Clinical Example (0391T)
A representative in-person interrogation and evaluation example for a leadless pacemaker system. The section covers the general follow-up assessment context discussed in the article.
What You Will Learn
- The scope of the leadless pacemaker system code family
- How the article frames insertion, removal, and device evaluation services
- Which broader CPT guidance topics are associated with leadless pacemaker reporting
- The types of clinical scenarios used to illustrate the code set
Who Should Read This
- Medical coders
- Coding auditors
- Cardiology practice staff
- Hospital billing teams
- Clinical documentation specialists
Codes Discussed
Code Ranges Discussed
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