CPT® Code 0467T

Deleted

Revision or replacement of chest wall respiratory sensor electrode or electrode array, including connection to existing pulse generator

The procedure described by CPT® Code 0467T involves the revision or replacement of a chest wall respiratory sensor electrode or electrode array. This device is crucial for monitoring respiratory patterns, particularly those indicative of sleep apnea. The chest wall respiratory sensor electrode or array is implanted to detect changes in breathing patterns. When an abnormal pattern is identified, the connected pulse generator delivers an electrical impulse to the hypoglossal nerve, which stimulates the movement of the tongue forward, thereby facilitating the opening of the airway. This process is essential for patients suffering from sleep apnea, as it helps to prevent airway obstruction during sleep. The procedure for revision or replacement begins similarly to the initial insertion, which involves making an incision in the right ipsilateral mid-infraclavicular region to access the pulse generator located in a subcutaneous pocket. A tunnel is then created under the skin leading to the appropriate intercostal space, where the electrode or array is positioned. The existing electrode or array can either be repositioned or replaced entirely, depending on its condition and functionality. This procedure ensures that the respiratory monitoring system remains effective in managing the patient's sleep apnea symptoms.