CPT 0518T: Removal of Pulse Generator Battery for Left Ventricular Pacing
CPT code 0518T identifies the removal of a pulse generator battery from a wireless cardiac stimulator that provides left ventricular pacing. This code captures a device explantation procedure distinct from lead or system removals and is relevant as wireless cardiac pacing technologies expand. Nationally, accurate coding for device component removal affects claims processing, device tracking, and quality measurement for cardiac device management.
Key payers in this context include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical procedure and typical settings, plus guidance on where to expect payer involvement. The publication also summarizes available benchmarks and coding context, highlights policy and coverage considerations tied to device removals, and outlines clinical circumstances where this procedure is performed.
The content that follows provides coding context, service-line implications, and operational considerations for facilities and billing teams. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 0518T describes the removal of a pulse generator battery from a wireless cardiac stimulator used for left ventricular pacing. The procedure involves explanting the device’s pulse generator component that powers a wireless system which provides left ventricular pacing for cardiac resynchronization or other therapeutic pacing needs.
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Service type: Surgical device explantation / device removal procedure
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Typical site of service: Hospital operating room or ambulatory surgery center, depending on clinical status and facility capabilities