AMA CPT® Assistant - 2024 Issue 12 (December)
Reporting Cardiac Contractility Modulation-Defibrillation Services (December 2024)
December 2024 page 35 Reporting Cardiac Contractility Modulation-Defibrillation Services Many changes in the CPT 2025 code set will take effect on January 1, 2025, and some of these changes are in the Category III section, whose changes are driven largely by novel medical innovations, technologies, and emerging procedures. This article provides an overview of the intent and use of new codes 0915T-0931T, which have been established to report various cardiac contractility modulation-defibrillation (CCM-D) services. Besides the creation of these new codes, a new subsection, Cardiac Contractility Modulation-Defibrillation, has been created with new and updated guidelines, including coding instructions for...
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Article Overview
This CPT® Assistant article reviews new and updated guidance tied to the CPT 2025 code set for cardiac contractility modulation-defibrillation (CCM-D) services. It is relevant to coders, cardiology practices, device clinics, and revenue cycle teams that report implant, removal, replacement, pocket relocation, evaluation, interrogation, and electrophysiologic testing services for CCM-D systems. The article also discusses related subsection guidance, parenthetical notes, and how these services are distinguished from other cardiac device reporting.
Why This Topic Matters
CCM-D is an emerging device therapy with new Category III reporting options and updated instructional material. Understanding the scope of the new subsection helps avoid incorrect overlap with other cardiac device services and supports more accurate reporting of device-related encounters.
Article Sections
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Category III Codes
Introduces the new Category III reporting area and frames the article’s focus on upcoming CPT 2025 changes for CCM-D services.
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Cardiac Contractility Modulation-Defibrillation
Describes the CCM-D system, its components, and the general structure of the newly added reporting subsection and related guidance.
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Table 1. Reporting Various Work Associated With Cardiac Contractility Modulation-Defibrillation (CCM-D) Services
Summarizes broad categories of CCM-D-related work and the associated code groupings referenced by the article.
What You Will Learn
- How the article frames the new CCM-D reporting subsection within CPT 2025
- What broad types of CCM-D services are addressed in the new guidance
- How the article organizes implant, removal, replacement, pocket, evaluation, interrogation, and testing services
- Which general reporting topics are clarified by the updated notes and subsection guidance
Who Should Read This
- Medical coders
- Cardiology and electrophysiology practices
- Device clinic staff
- Revenue cycle and compliance teams
- Physician advisors and coding educators
Codes Discussed
Code Ranges Discussed
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