CPT 0772T: Virtual Reality Procedural Dissociation, Add-On 15 Minutes - OpenPayer

Summary & Overview

CPT 0772T: Virtual Reality Procedural Dissociation, Add-On 15 Minutes

Headline: New CPT add-on captures extended virtual reality procedural dissociation

Lead: CPT code 0772T is an add-on billing code for virtual reality (VR) procedural dissociation services provided by a qualified healthcare professional during a separate diagnostic or therapeutic procedure. The code covers each additional 15 minutes of VR intraservice time for patients aged 5 years and older and formalizes billing for prolonged VR-assisted comfort measures across clinical settings.

CPT code 0772T represents an intraservice adjunct designed to increase patient comfort during procedures by delivering VR-based dissociation. Nationally, adoption of VR procedural support has grown in many procedural specialties as nonpharmacologic comfort measures, making a clear add-on code important for coding clarity and capture of incremental service time. Key payers in typical coverage discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

This publication provides readers with an overview of what 0772T represents, payer coverage context for major national payers, and the clinical and billing context needed to interpret the code. Readers will find benchmarks for typical use and reimbursement context where available, summaries of common modifiers used with add-on services, and practical guidance on documentation elements tied to service time and patient age. Data not available in the input is noted where applicable.

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Billing Code Overview

CPT code 0772T describes an add-on virtual reality (VR) procedural dissociation service provided by a qualified healthcare professional (QHP) to increase patient comfort while the QHP performs a separate diagnostic or therapeutic procedure. This code represents each additional 15 minutes of VR intraservice time for a patient aged 5 years and older.

Service Type

Service type: VR procedural dissociation (intraservice add-on) provided concurrently with a separate diagnostic or therapeutic procedure

Typical Site of Service

Typical site of service: Any clinical setting where the primary diagnostic or therapeutic procedure takes place and a QHP can deliver VR procedural dissociation (for example, outpatient procedural areas, ambulatory surgery centers, hospital procedural units, or specialty clinics).

Clinical & Coding Specifications

Clinical Context

A 10-year-old child undergoing outpatient minor orthopedic fracture reduction in an ambulatory surgery center receives concurrent virtual reality (VR) procedural dissociation services from a qualified healthcare professional (QHP). The child arrives for a closed reduction and casting of a distal radius fracture. After pre-procedure evaluation, the QHP initiates a VR session tailored to reduce anxiety and procedural pain. The VR session runs concurrently with portions of the reduction and casting procedure in 15-minute increments. The VR professional documents start and stop times, patient tolerance, interaction with the primary proceduralist, and any breaks in VR intraservice time. Billing includes the primary procedure code for the fracture management and 0772T as an add-on code for each additional 15 minutes of VR intraservice time for the patient aged 5 years or older. Typical workflow: pre-procedure consent and device suitability check, VR setup and calibration, continuous monitoring during VR-assisted portions of the procedure, documentation of VR session duration and any sedative or analgesic medication administered, and post-procedure assessment of VR-related effects and patient comfort.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when VR services substantially increase the complexity or time of the primary procedure and documentation supports unusual effort.

CPT 0770T: Virtual Reality Software Practice Expense for Therapy

cpt-0774t-virtual-reality-procedural-dissociation-add-on-15min

CPT 0774T: Virtual Reality Procedural Dissociation, Add-on 15-Minutes

cpt-0773t-vr-procedural-dissociation-first-15-minutes

CPT 0773T: Virtual Reality Procedural Dissociation, First 15 Minutes

cpt-0771t-virtual-reality-procedural-dissociation-first-15-minutes

CPT 0771T: Virtual Reality Procedural Dissociation, First 15 Minutes

Taxonomy Code	Specialty	Notes
207Q00000X	Physical Medicine & Rehabilitation	QHPs in rehab programs may provide VR for procedural dissociation and comfort.
207RA0401X	Pain Medicine	Pain medicine physicians may employ VR adjunctively during painful procedures.
163W00000X	Pediatric Medicine	Pediatricians or pediatric proceduralists commonly oversee VR for children undergoing minor procedures.
208D00000X	Emergency Medicine	Emergency physicians may use VR for acute procedures performed in ED settings.
208000000X	Family Medicine	Family medicine clinicians in ambulatory settings may provide VR procedural support for minor procedures.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S52.501A`	Unspecified fracture of distal radius, right arm, initial encounter for closed fracture	Distal radius fractures commonly require reduction and casting; VR can reduce pain and anxiety during manipulation.
`S52.502A`	Unspecified fracture of distal radius, left arm, initial encounter for closed fracture	Left-sided distal radius fractures are similarly treated with reduction and VR facilitation.
`F41.9`	Anxiety disorder, unspecified	Patients with procedural anxiety can benefit from VR dissociation to improve tolerance of in-office procedures.
`R07.9`	Chest pain, unspecified	In emergency settings where minor painful procedures occur, VR may be used adjunctively for comfort.
`M25.50`	Pain in unspecified joint	Joint pain addressed with diagnostic or therapeutic procedures may be accompanied by VR to improve patient comfort.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`29075`	Closed treatment of distal radial fracture or epiphyseal separation, with manipulation, without anesthesia; young patient (per site and payer rules)	Common primary procedure for which VR procedural dissociation (`0772T`) may be provided concurrently to increase patient comfort during manipulation.
`29125`	Application of short arm cast (forearm to hand), static, for fracture or dislocation	Often performed immediately after fracture reduction; VR services can continue during casting to reduce distress.
`99070`	Supplies and materials (e.g., for VR equipment)	Used to report noncovered items/supplies related to VR equipment when payors permit separate supply charges.
`97110`	Therapeutic exercises to develop strength and endurance, range of motion and flexibility	Physical or occupational therapy sessions that may include VR-based desensitization or therapeutic modalities in the peri-procedural period.
`99152`	Moderate sedation services provided by the same physician performing the procedure (new or established patient) initial 30 minutes	If moderate sedation is used in addition to VR, this code documents sedation time; VR add-on code is billed in addition where permitted.

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