Cardiology Coding Alert

Question: What sort of device is used for new codes 0266T-0273T?

Texas Subscriber

Answer: The codes you mention describe services connected to the carotid sinus baroreflex activation system, a new implantable device by CVRx intended to treat people with resistant hypertension by sending an electrical jolt to the carotid arteries. The device is currently under clinical investigation in the United States.

The codes, implemented July 1, 2011, are:

• 0266T-0268T, Implantation or replacement of carotid sinus baroreflex activation device ...
• 0269T-0271T, Revision or removal of carotid sinus baroreflex activation device ...
• 0272T-0273T, Interrogation device evaluation (in person), carotid sinus baroreflex activation system ...

You can see the full code definitions and guidelines at www.ama-assn.org/resources/doc/cpt/cptcat3codes.pdf.

Tip: Another new Category III code of note is 0262T (Implantation of catheter-delivered prosthetic pulmonary valve, endovascular approach). The implementation date for this code also is July 1. Be sure to read the instructions with the code before using it so you don't claim included services. The code is designed to include services performed to complete the procedure, including congenital cardiac caths, contrast injections, fluoroscopic supervision and interpretation, imaging guidance, percutaneous balloon angioplasty/valvuloplasty of the pulmonary valve/conduit, and stent deployment within the pulmonary conduit. You may report distinct services at a separate site.