CPT code 0614T represents surgical removal of a substernal implantable cardioverter-defibrillator (ICD) pulse generator from a previous chest wall pocket and placement of a new pulse generator in the same pocket. This procedure covers generator exchange for substernal ICD systems and matters nationally because generator replacements are a routine component of long-term device management, with implications for hospital and outpatient surgical resource use, device supply chains, and payer coverage policy. Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will find a concise overview of clinical context and typical settings for the service, benchmark considerations for utilization and reimbursement, and relevant policy and coding guidance that affect coverage and claims processing. The publication summarizes expected sites of service, common billing considerations, and how payers commonly categorize generator exchange procedures. Data not available in the input will be noted where appropriate. The guidance is intended for billing professionals, hospital coding teams, and policy analysts seeking a national perspective on CPT code 0614T and its role in device management workflows.