CPT® Code 0414T

The procedure described by CPT® Code 0414T involves the removal and replacement of a permanent cardiac contractility modulation (CCM) system pulse generator. This procedure is specifically indicated for patients suffering from moderate to severe chronic heart failure. The CCM system plays a crucial role in enhancing cardiac function by generating electrical impulses during the absolute refractory period of the cardiac cycle. These impulses are designed to improve the contractility of the heart muscle without altering the heart's rhythm, thereby providing a therapeutic benefit to patients with compromised cardiac function. The process begins with making an incision in the skin to access the pulse generator, which is then disconnected from the electrodes. After the old pulse generator is removed, a new one is inserted and connected to the existing electrodes, ensuring continuity of the treatment. Finally, the incision is sutured closed, completing the procedure.