CPT® Code 0454T

Deleted

Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; subcutaneous electrode

The procedure described by CPT® Code 0454T involves the insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system using an endovascular approach, specifically focusing on the subcutaneous electrode component. This advanced medical intervention is designed to assist patients with severe cardiac conditions, such as acute cardiogenic shock or end-stage chronic heart failure. The aortic counterpulsation system consists of a pneumatic pump that operates in synchronization with the patient's heartbeat, thereby enhancing cardiac output and improving blood flow to vital organs. The procedure entails creating an incision in the right chest to place the pump in a subcutaneous pocket, followed by tunneling a pneumatic drive line to connect the pump to an external console. This console drives the pump using pressurized air, which fills the pump during the heart's contraction phase (ventricular systole) and ejects air during the relaxation phase (ventricular diastole). The subcutaneous electrodes are crucial for monitoring the heart's electrical activity and ensuring the device operates in harmony with the patient's cardiac rhythm. This procedure is critical for patients who require mechanical support to maintain adequate circulation and organ perfusion.