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CPT®
0048T

CPT® Code 0048T
Deleted

Code deleted, see 33991

Official Description

Implantation of a ventricular assist device, extracorporeal, percutaneous transseptal access, single or dual cannulation

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 0048T involves the implantation of a ventricular assist device (VAD), which is a mechanical pump designed to support heart function in patients experiencing heart failure or significant cardiac weakness. This device can take over the pumping function of one or both ventricles of the heart, thereby enhancing blood circulation throughout the body. The implantation is performed using a percutaneous transseptal access approach, which means that the device is inserted through the skin and guided through the heart's septum, the wall dividing the left and right sides of the heart. This method allows for a minimally invasive procedure, reducing recovery time and potential complications associated with more invasive surgical techniques. The VAD operates by intercepting blood flow from the heart and pumping it through an external device, which then returns the blood to the patient's circulatory system, effectively aiding the heart in maintaining adequate blood flow to vital organs.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The implantation of a ventricular assist device (VAD) is indicated for patients who are experiencing severe heart failure or significant cardiac weakness. This procedure is typically considered when the heart is unable to pump sufficient blood to meet the body's needs, which can occur in various conditions, including but not limited to:

  • Heart Failure: A condition where the heart is unable to pump effectively, leading to inadequate blood flow to organs.
  • Cardiomyopathy: A disease of the heart muscle that affects its size, shape, and ability to pump blood.
  • Myocardial Infarction: A heart attack that can result in damage to the heart muscle, impairing its function.
  • Severe Valvular Heart Disease: Conditions affecting the heart valves that can lead to heart failure.

2. Procedure

The procedure for the implantation of a ventricular assist device (VAD) involves several critical steps to ensure proper placement and function of the device. The following outlines the procedural steps:

  • Step 1: Patient Preparation The patient is prepared for the procedure, which includes obtaining informed consent, performing necessary preoperative assessments, and ensuring that the patient is in a stable condition for the procedure.
  • Step 2: Anesthesia Administration The patient is administered appropriate anesthesia to ensure comfort and pain management during the procedure. This may involve general anesthesia or sedation, depending on the patient's condition and the complexity of the procedure.
  • Step 3: Access Site Preparation The access site is identified, typically in the groin area, and is cleaned and sterilized to prevent infection. A percutaneous approach is utilized, which minimizes the need for large incisions.
  • Step 4: Catheter Insertion A catheter is inserted through the skin and guided through the vascular system to the heart. The transseptal access technique is employed, allowing the catheter to cross the septum of the heart to reach the left atrium or ventricle.
  • Step 5: Device Placement The ventricular assist device is then positioned within the heart. This may involve single or dual cannulation, depending on the specific requirements of the patient's condition and the type of VAD being used.
  • Step 6: Device Connection The device is connected to an external pump, which will take over the function of pumping blood. The system is tested to ensure proper operation and that blood flow is adequately maintained.
  • Step 7: Monitoring and Closure After the device is implanted and functioning correctly, the access site is closed, and the patient is monitored for any immediate complications. Post-procedure care is initiated to ensure the patient's recovery.

3. Post-Procedure

Following the implantation of the ventricular assist device, patients are typically monitored in a critical care setting to assess their response to the device and to manage any potential complications. Post-procedure care includes regular monitoring of vital signs, ensuring the device is functioning properly, and managing any discomfort or side effects. Patients may require adjustments to their medications and will need to follow a specific rehabilitation program to aid in their recovery. Long-term follow-up is essential to monitor the device's performance and the patient's overall health status.
Short Descr IMPLANT VENTRICULAR DEVICE
Medium Descr IMPLTJ VENTR ASSIST DEV XTRCORP PRQ T-SEPTAL
Long Descr Implantation of a ventricular assist device, extracorporeal, percutaneous transseptal access, single or dual cannulation
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Discontinued Code
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 50 - Extracorporeal circulation auxiliary to open heart procedures
Date
Action
Notes
2013-01-01 Deleted Code deleted, see 33991
2013-01-01 Changed Short and Medium Descriptors changed.
2004-01-01 Added Code added
Code
Description
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