CPT® Code 76018

MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify device integrity, protection of device internal circuitry from MR electromagnetic fields, and protection of patient from risks of unintended stimulation or heating while in the MR room, with written report

The CPT® Code 76018 refers to the preparation of implanted electronic devices, such as pacemakers, defibrillators, or neurostimulators, for safe magnetic resonance (MR) imaging procedures. This preparation is crucial as many of these devices have specific FDA-sanctioned labeling that outlines the conditions under which an MR procedure can be safely conducted. The process involves a comprehensive assessment and programming of the device to ensure its integrity and safety during the MR scan. This includes verifying that the device is in a safety mode that protects its internal circuitry and battery from the electromagnetic fields generated during the MR procedure. The preparation also entails connecting monitors to the patient to track vital signs while the device is being adjusted for MR exposure. A qualified healthcare professional, typically a physician, supervises this process to ensure that the patient is closely monitored for any potential side effects or complications that may arise from the modified device therapy. This includes assessing the risks of unintended stimulation or overheating due to the electromagnetic exposure. The procedure culminates in the generation of a written report that details the programming adjustments made, the verification of device parameters such as battery voltage and lead impedance, and any complications that may have been encountered. If the device does not return to its pre-exam therapeutic status, a follow-up may be requested to address any ongoing issues.