CPT® Code 0051T

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The procedure described by CPT® Code 0051T involves the implantation of a total replacement heart system, commonly referred to as an artificial heart, in patients who are awaiting a donor heart. This complex surgical intervention is performed to provide temporary support for patients with severe heart failure or end-stage heart disease. The process begins with a median sternotomy, which is a surgical incision made along the sternum to access the heart. Once the heart is exposed, cardiopulmonary bypass is established to take over the function of the heart and lungs during the surgery, allowing the surgical team to operate on a still and bloodless field. The diseased heart is then removed through a procedure known as cardiectomy, which involves excising the patient's failing heart. Following this, the artificial heart is carefully inserted into the chest cavity, and the coronary arteries are connected to the appropriate outlets of the artificial heart to ensure proper blood flow. After the implantation, the patient is gradually weaned off the cardiopulmonary bypass, chest tubes are placed to drain any excess fluid, and the chest incisions are meticulously closed. This procedure is critical for patients who are in dire need of heart support while waiting for a suitable donor heart to become available.