AMA CPT® Assistant - 2022 Issue 4 (April)
Synchronized Diaphragmatic Stimulation to Improve Cardiac Output (April 2022)
April 2022 pages 5-9 Synchronized Diaphragmatic Stimulation to Improve Cardiac Output Effective January 1, 2022, the Category III section of the Current Procedural Terminology (CPT®) code set was expanded to include a new subsection and 12 new codes for reporting procedures and services related to synchronized diaphragmatic stimulation (SDS) systems that enable the stimulation of diaphragm muscles intended to improve cardiac output. In addition, new guidelines and parenthetical notes were added to instruct users on how to appropriately report these new codes. This article provides an overview of these changes. Implantable Synchronized Diaphragmatic Stimulation System for Augmentation of...
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Article Overview
This article explains April 2022 CPT guidance for synchronized diaphragmatic stimulation systems and the new Category III code set additions effective January 1, 2022. It is intended for coders, billers, and clinical documentation teams who need to understand the scope of the update, the types of procedures and device services addressed, and the general reporting framework discussed in the article.
Why This Topic Matters
It helps readers identify whether the article covers the device procedures and follow-up services they code, and it provides context for a recent CPT expansion affecting heart failure-related device services.
Article Sections
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April 2022 pages 5-9
Introductory overview of the CPT update and the new category of synchronized diaphragmatic stimulation content.
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Implantable Synchronized Diaphragmatic Stimulation System for Augmentation of Cardiac Function
Background on the implantable system, its components, and the general purpose of the therapy. This section also introduces the related CPT code family at a high level.
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Clinical Example and Description of Procedure (0674T)
A clinical scenario and procedural walkthrough illustrating the initial laparoscopic system implantation topic covered by the article.
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Clinical Example and Description of Procedure (0675T)
A clinical scenario and procedural walkthrough addressing lead insertion topics within the code family.
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Clinical Example and Description of Procedure (0676T)
A clinical scenario and procedural walkthrough addressing additional lead insertion topics within the code family.
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Clinical Example and Description of Procedure (0677T)
A clinical scenario and procedural walkthrough addressing lead repositioning topics within the code family.
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Clinical Example and Description of Procedure (0678T)
A clinical scenario and procedural walkthrough addressing additional lead repositioning topics within the code family.
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Clinical Example and Description of Procedure (0679T)
A clinical scenario and procedural walkthrough addressing lead removal topics within the code family.
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Clinical Example and Description of Procedure (0680T)
A clinical scenario and procedural walkthrough addressing pulse generator insertion or replacement topics within the code family.
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Clinical Example and Description of Procedure (0681T)
A clinical scenario and procedural walkthrough addressing pulse generator relocation topics within the code family.
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Clinical Example and Description of Procedure (0682T)
A clinical scenario and procedural walkthrough addressing pulse generator removal topics within the code family.
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Clinical Example and Description of Procedure (0683T)
A clinical scenario and procedural walkthrough addressing in-person programming and device evaluation topics within the code family.
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Clinical Example and Description of Procedure (0684T)
A clinical scenario and procedural walkthrough addressing peri-procedural device evaluation and programming topics within the code family.
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Clinical Example and Description of Procedure (0685T)
A clinical scenario and procedural walkthrough addressing interrogation and follow-up evaluation topics within the code family.
What You Will Learn
- The general purpose and structure of the CPT update for synchronized diaphragmatic stimulation systems
- Which types of device-related services are included in the new code family
- How the article frames implantation, lead, pulse generator, programming, and interrogation topics
- What kinds of clinical scenarios are used to illustrate the code set update
Who Should Read This
- Medical coders
- Coding auditors
- Physician documentation teams
- Cardiology practice staff
- Medical billing staff
Codes Discussed
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