AMA CPT® Assistant - 2016 Issue 5 (May)
Transcatheter Leadless and Pocketless Pacemaker (0387T-0391T) (May 2016)
May 2016 pages 5-8 Transcatheter Leadless and Pocketless Pacemaker (0387T-0391T) Five new Category III codes (0387T-0391T) and guidelines were added to the Current Procedural Terminology (CPT®) 2016 code set under a new heading titled "Pacemaker—Leadless and Pocketless System" to report transcatheter leadless pacemaker procedures. Previously, these procedures were reported with unlisted codes 33999, Unlisted procedure, cardiac surgery, and 93799, Unlisted cardiovascular service or procedure. New Heading, Introductory Guidelines, and Category III Codes Pacemaker—Leadless and Pocketless System A leadless cardiac pacemaker system is a pulse generator with built-in battery and electrode for implantation in a cardiac chamber via a...
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Article Overview
This CPT® Assistant article covers the May 2016 creation of a new Category III code family for transcatheter leadless pacemaker services and the accompanying editorial guideline updates in the CPT codebook. It is aimed at coders, billers, and clinical documentation staff who need to understand the scope of the new leadless pacemaker system content, its relationship to existing pacemaker-related coding, and the general procedural and follow-up categories addressed in the article.
Why This Topic Matters
The article helps readers identify when the new leadless pacemaker topic was added to CPT and how the surrounding guidance fits into the larger cardiovascular coding framework. It is relevant for accurate code-set awareness, documentation review, and understanding of how the new category relates to other pacemaker service families.
Article Sections
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May 2016 pages 5-8
Introduces the article’s publication context and the CPT® update addressed in this issue.
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New Heading, Introductory Guidelines, and Category III Codes
Summarizes the new pacemaker-related heading, the associated introductory guidance, and the newly added Category III code family.
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Clinical Example (0387T) and Description of Procedure (0387T)
Provides a sample leadless pacemaker implantation scenario and a narrative description of the related procedure workflow.
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Clinical Example (0388T) and Description of Procedure (0388T)
Presents a sample removal scenario and a narrative description of the related procedure workflow.
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Clinical Example (0389T) and Description of Procedure (0389T)
Shows a sample device evaluation and programming scenario and the related procedure narrative.
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Clinical Example (0390T) and Description of Procedure (0390T)
Covers a peri-procedural programming scenario and the related procedure narrative for the leadless system.
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Clinical Example (0391T) and Description of Procedure (0391T)
Covers an in-person interrogation evaluation scenario and the related procedure narrative for the leadless system.
What You Will Learn
- The general purpose of the May 2016 CPT® update related to leadless pacemaker services
- How the article frames the new leadless and pocketless pacemaker topic within the CPT codebook
- What kinds of procedural and follow-up service categories are discussed for the leadless pacemaker system
- How the article situates the new code family alongside existing pacemaker-related guidance
Who Should Read This
- Medical coders
- Coding managers
- Cardiology billing staff
- Clinical documentation specialists
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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