CPT® Code 0405T

Deleted

Oversight of the care of an extracorporeal liver assist system patient requiring review of status, review of laboratories and other studies, and revision of orders and liver assist care plan (as appropriate), within a calendar month, 30 minutes or more of non-face-to-face time

The CPT® Code 0405T pertains to the oversight of care for patients utilizing an extracorporeal liver assist system, which is a critical intervention for individuals experiencing liver failure. This procedure involves a comprehensive review of the patient's clinical status, including an assessment of laboratory results and other relevant studies. The medical professional is responsible for revising treatment orders and the liver assist care plan as necessary, ensuring that the patient receives optimal support during this challenging time. The extracorporeal liver assist system serves as a temporary measure, either as a bridge to a liver transplant or to facilitate the recovery of the liver itself. Patients with liver failure often face severe complications, including coagulopathy, hemodynamic instability, and multisystem organ failure due to inadequate perfusion and oxygenation. The extracorporeal liver assist system operates similarly to a hemodialysis machine, effectively filtering the patient's blood to eliminate harmful toxins, such as water-soluble and albumin-bound substances, which can include small fatty acids, metabolites of aromatic amino acids, bilirubin, and other vasoactive agents. Continuous monitoring of the patient's cognitive function, renal performance, and metabolic parameters, including glucose levels, electrolytes, and acid-base balance, is essential. Additionally, the integrity of hemodialysis access points, such as arteriovenous fistulas or central venous catheters, must be maintained. The code 0405T specifically accounts for 30 minutes or more of non-face-to-face time dedicated to these critical oversight activities within a calendar month.