CPT® Code 0428T

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The procedure described by CPT® Code 0428T involves the removal of a neurostimulator system specifically designed for the treatment of central sleep apnea. Central sleep apnea is a condition characterized by the temporary cessation of breathing due to the brain's failure to signal the muscles responsible for respiration. This condition can be triggered by various factors, including strokes, anatomical issues affecting the neck or brainstem, morbid obesity, and the use of narcotic medications. The neurostimulator system itself comprises an implantable pulse generator, a stimulation lead that interfaces with the hypoglossal nerve (the twelfth cranial nerve), and a pressure sensing lead that is positioned within the chest. The focus of this procedure is solely on the removal of the pulse generator, which entails a surgical approach where an incision is made in the chest wall to access the device located in a pocket just above the pectoralis major muscle. The procedure requires careful disconnection of the pressure sensing and stimulation wires from the pulse generator before the device is extracted and the incision is subsequently closed. This procedure is critical for patients who no longer require the neurostimulator system or who may be transitioning to a different treatment modality.