CPT® Code 71090

Deleted

The CPT® Code 71090 refers to the insertion of a pacemaker, specifically highlighting the role of fluoroscopy and radiography in the procedure. This code indicates that radiological supervision and interpretation are integral components during the pacemaker insertion process. The procedure typically involves making an incision in the upper chest area, where a sheath is inserted into a selected blood vessel. Under the guidance of fluoroscopy and x-ray imaging, the pacemaker wire is carefully advanced into the appropriate heart chamber for endocardial placement. Once the lead is positioned against the heart wall, it undergoes testing to ensure proper functionality. Following this, the leads are connected to a pulse generator, which is also tested to confirm its operation. The pulse generator is then placed in a subcutaneous pocket, usually located beneath the collarbone. It is important to note that this code specifically captures the radiological supervision and interpretation aspect of the procedure and is intended to be used in conjunction with the actual insertion of either single or dual chamber pacemakers, whether they are permanent or temporary. This distinction is crucial for accurate medical coding and billing, as it delineates the responsibilities of the radiologist or technician involved in the procedure from the surgical aspects of pacemaker insertion.