CPT® Code 0802T

Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; right atrial pacemaker component

The CPT® Code 0802T refers to the transcatheter removal and replacement of a permanent dual-chamber leadless pacemaker, specifically focusing on the right atrial pacemaker component. A leadless pacemaker is a compact device that functions as a pulse generator, equipped with a built-in battery and electrode, designed to regulate heart rhythms without the need for traditional leads. This procedure is typically indicated when the battery life of the pacemaker component has been depleted, necessitating its replacement. The process involves accessing the femoral vein, utilizing imaging guidance techniques such as fluoroscopy, venous ultrasound, and angiography to ensure accurate placement and retrieval of the pacemaker. The procedure is intricate, requiring careful navigation through the venous system to capture and replace the pacemaker while ensuring proper functionality through device evaluation, which may include interrogation or programming. This code is specifically applicable when only the right atrial component is addressed during the session, distinguishing it from similar procedures that may involve the right ventricular component.