© Copyright 2026 American Medical Association. All rights reserved.
Virtual reality (VR) procedural dissociation is a therapeutic technique utilized to assist in the management of pain and anxiety for patients undergoing various medical, surgical, or radiological procedures. This innovative approach can serve as an alternative to traditional anesthesia for a range of interventions, including but not limited to burn treatments, interventional radiology, and procedures within orthopedic, gastroenterology, or dermatology specialties. The process involves the use of immersive and interactive VR experiences, which are delivered through a head-mounted display that is positioned over the patient's eyes prior to the procedure. This device effectively creates a barrier to the external environment, allowing the patient to engage with a virtual setting that can distract from painful or anxiety-inducing stimuli. The VR software is designed to present three-dimensional images, accompanied by music and conversational elements, all aimed at diverting the patient's attention and providing a sense of presence within the virtual world for a limited time. This technique is applicable to both pediatric and adult populations, enhancing the overall procedural experience. For billing purposes, the CPT® codes 0773T and 0774T should be reported for each 15-minute increment of VR dissociation services provided by a qualified healthcare professional who is not the one performing the procedure being supported.
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