CPT® Code 0798T

Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography), when performed; complete system (ie, right atrial and right ventricular pacemaker components)

A transcatheter removal of a permanent dual-chamber leadless pacemaker, identified by CPT® Code 0798T, involves the extraction of a specialized cardiac device that is implanted without traditional leads. This device consists of a pulse generator, which includes a built-in battery and electrode, designed to regulate heart rhythms. The dual-chamber aspect indicates that the pacemaker is capable of stimulating both the right atrium and right ventricle, allowing for synchronized heart function. The procedure is performed when there is a need to remove the pacemaker system from both chambers, typically due to complications such as device displacement, infection (for instance, endocarditis), or the necessity for a different cardiac intervention, such as the implantation of a cardiac resynchronization device in patients experiencing heart failure. The removal process is guided by imaging techniques, including fluoroscopy, venous ultrasound, and angiography, ensuring precision and safety during the procedure. This comprehensive approach allows for the complete retrieval of the pacemaker components, which is crucial for patient care and future treatment options.