CPT® Code 0260T

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Total body systemic hypothermia is a medical procedure specifically designed for neonates who are 28 days of age or younger, particularly those diagnosed with hypoxic-ischemic encephalopathy (HIE). HIE is a serious condition that arises from a lack of adequate oxygen supply to the brain and spinal cord, often due to perinatal asphyxia. The procedure involves cooling the entire body or just the head of the neonate to a temperature range of 91.4°F (33°C) to 93.2°F (34°C). This cooling process is most effective when initiated within six hours following delivery, as it can significantly mitigate the neurological damage associated with HIE. The cooling is typically maintained for a duration of 72 hours, during which the infant's temperatures are meticulously monitored through various methods, including rectal, nasopharyngeal, scalp, and abdominal skin temperature assessments. Additionally, vital metabolic, cardiovascular, pulmonary, and coagulation laboratory measurements are conducted at predetermined intervals to ensure the neonate's safety and response to the treatment. Following the cooling phase, the procedure includes a gradual rewarming process that spans approximately four hours. For billing purposes, the CPT® Code 0260T is utilized to report each day of total body systemic hypothermia performed on eligible neonates.