CPT® Code 0825T

Transcatheter removal and replacement 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) and device evaluation (eg, interrogation or programming), when performed

The procedure described by CPT® Code 0825T involves the transcatheter removal and replacement of a permanent single-chamber leadless pacemaker located in the right atrium. A leadless pacemaker is a compact device that functions as a pulse generator, equipped with an internal 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 existing pacemaker 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, and angiography, are employed throughout the procedure to visualize the anatomy and ensure accurate placement of the devices. The procedure also includes device evaluation, which may involve interrogation or programming of the pacemaker to confirm its functionality and proper settings. This comprehensive approach ensures that the replacement pacemaker is securely positioned and functioning optimally within the right atrium, thereby maintaining effective cardiac pacing for the patient.