CPT® Code 0803T

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 ventricular pacemaker component (when part of a dual-chamber leadless pacemaker system)

The procedure described by CPT® Code 0803T involves the transcatheter removal and replacement of a permanent dual-chamber leadless pacemaker, specifically focusing on the right ventricular component of the system. 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 exhausted, necessitating its replacement to ensure continued cardiac pacing. The process begins with the preparation of the groin area, where access to the femoral vein is established. Imaging guidance techniques, such as fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, and femoral venography, may be employed to assist in the procedure. These imaging modalities help visualize the anatomy and ensure accurate placement of the devices during both the removal and replacement phases. The procedure also includes device evaluation, which may involve interrogation or programming of the pacemaker, ensuring that the new device is functioning correctly and is properly integrated into the patient's cardiac system.