CPT® Code 0824T

Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculography, femoral venography, cavography), when performed

The CPT® Code 0824T refers to the transcatheter removal of a permanent single-chamber leadless pacemaker from the right atrium, which includes the use of imaging guidance techniques such as fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography, and cavography when performed. A leadless pacemaker is a compact device that combines a pulse generator, battery, and electrode into a single unit, eliminating the need for traditional leads that connect to an external pulse generator. The procedure is typically indicated in situations where the leadless pacemaker needs to be removed due to complications such as displacement, infection (for example, endocarditis), or when a patient develops heart failure necessitating the implantation of a cardiac resynchronization device. This procedure is performed through the femoral vein, where access is gained to facilitate the retrieval of the pacemaker from the right atrium without replacing it. The use of imaging guidance is crucial for ensuring the accurate placement of instruments and the successful retrieval of the device while minimizing risks to the patient.