CPT® Code 0302T

Deleted

Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation when performed and intra-operative interrogation and programming when performed; complete system (includes device and electrode)

The CPT® Code 0302T refers to the procedure involving the insertion, removal, and replacement of a complete intracardiac ischemia monitoring system. This system is designed to monitor electrocardiogram (ECG) changes, specifically focusing on ST segment alterations, in real time. It serves a critical function by alerting patients to seek immediate medical attention when a cardiac ischemic event is detected, which is particularly vital for individuals who may not experience or recognize typical warning signs such as chest pain, shortness of breath, nausea, or diaphoresis (sweating). The monitoring device is composed of several components, including a programmable implantable monitoring device (IMD), a right ventricular lead wire, a lead wire adapter, an external alarm device (EXD), and a programming unit. The procedure for inserting the device typically occurs in a cardiac catheterization lab under monitored anesthesia care (MAC) or moderate sedation. The physician administers a local anesthetic to the upper left chest area and makes a small incision, approximately 2-3 inches long. Utilizing fluoroscopy, the lead wire is carefully advanced through a vein to reach the apex of the right ventricle, where it is connected to the IMD. The IMD is then programmed, inserted into the chest incision, and tested before the skin is sutured closed. The EXD is designed to activate an alarm—through vibration, flashing lights, or audible beeps—when the device detects that a ten-second ECG reading falls outside the established baseline, prompting the patient to seek urgent medical care. The data collected by the device can be retrieved and analyzed by the treating physician, making it a valuable tool for patients at high risk for ischemic cardiac events, such as those with a history of acute coronary events, diabetes, or renal insufficiency.