C2624 Implantable PA Pressure Sensor HCPCS Reimbursement

HCPCS Level II code C2624 represents an implantable wireless pulmonary artery pressure sensor with delivery catheter and all system components. The code covers the device and associated implantation system used to enable remote hemodynamic monitoring of pulmonary artery pressures, a technology with national relevance for management of patients with heart failure and pulmonary hypertension. Adoption impacts hospital cardiac device programs, outpatient monitoring workflows, and durable medical equipment pathways.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. The publication provides a national perspective on coverage and coding considerations for device implantation, operational settings where the service is delivered, and typical billing context.

Readers will learn the clinical purpose of the device, typical sites of service, and the scope of the code as a bundled device-and-delivery system. The report outlines where to locate payer policies and what benchmarks and policy developments to review for device-based remote monitoring programs. Data not available in the input for certain payer-specific coverage details, associated taxonomies, ICD-10 diagnoses, related codes, and service-line mapping are noted where applicable.

Billing Code Overview

HCPCS Level II code C2624 describes an implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components. This device-based service is used to implant a long-term, implantable sensor that transmits pulmonary artery pressure measurements wirelessly for remote hemodynamic monitoring.

Service type: Implantation of an implantable wireless pulmonary artery pressure sensor system (procedural/device service)
Typical site of service: Hospital operating room or cardiac catheterization laboratory (inpatient or outpatient procedural setting)

Data not available in the input.

Clinical Context

A typical patient is an adult with chronic symptomatic heart failure (often NYHA Class III) being managed for recurrent decompensation despite optimized medical therapy. The cardiology team elects implantation of an implantable wireless pulmonary artery pressure sensor to enable remote hemodynamic monitoring and reduce hospitalizations. The procedure is performed in a cardiac catheterization or electrophysiology laboratory under conscious sedation or monitored anesthesia care. Vascular access is obtained (usually via right femoral or jugular venous approach), a delivery catheter is advanced into a branch of the pulmonary artery under fluoroscopic and hemodynamic guidance, and the implantable sensor is deployed. The device package includes the wireless pulmonary artery pressure sensor and the delivery catheter and all system components. Post-deployment, baseline pressure measurements and device interrogation are performed; access is closed and the patient is observed in a recovery area with telemetry prior to discharge or overnight observation. Documentation includes indication (e.g., refractory heart failure), informed consent, device model and serial numbers, procedural steps, hemodynamic data, immediate complications (if any), and detailed post-procedure monitoring and remote transmission instructions.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when work required is substantially greater than typically required for implantation due to complexity (document increased work).

Taxonomy Code	Specialty	Notes
`207RP0000X`	Interventional Cardiology	Primary specialty that performs pulmonary artery pressure sensor implantation.
`207RC0000X`	Cardiovascular Disease (General Cardiology)	Heart failure cardiologists or general cardiologists involved in patient selection and follow-up.
`207L00000X`	Vascular Medicine	Specialists who may assist with vascular access and hemodynamic interpretation.
`2084P0800X`	Cardiac Electrophysiology	EP physicians who perform procedures in catheterization/lab settings and manage implantable monitors.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I50.21`	Acute systolic (congestive) heart failure	Common indication when hemodynamic monitoring is needed for decompensated systolic heart failure management.
`I50.22`	Chronic systolic (congestive) heart failure	Chronic systolic HF patients with recurrent symptoms are candidates for pulmonary artery pressure monitoring.
`I50.23`	Acute on chronic systolic (congestive) heart failure	Patients with recurrent exacerbations benefit from remote pressure monitoring to guide therapy.
`I50.32`	Chronic diastolic (congestive) heart failure	HFpEF patients with fluid management challenges may be considered for monitoring.
`I50.33`	Acute on chronic diastolic (congestive) heart failure	Relevant when diastolic dysfunction leads to recurrent volume overload requiring close surveillance.
`I50.9`	Heart failure, unspecified	Used when documentation supports heart failure as the indication but specific subtype is not recorded.
`R94.31`	Abnormal pulmonary artery pressure reading (not a commonly used final diagnosis)	Captures objective abnormal pressure findings that justify device use or follow-up data.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`33289`	Insertion or replacement of permanent pacemaker lead, transvenous, with implantable monitoring device lead (when applicable)	May be performed in conjunction when additional intracardiac leads or monitoring leads are needed in the same setting.
`93458`	Cardiac catheterization with right heart catheterization including transcatheter placement of pressure sensor (select codes for right heart cath and hemodynamics)	Right heart catheterization codes are commonly billed for hemodynamic measurements obtained during sensor placement; documentation must support catheterization elements.
`33361`	Transcatheter pulmonary valve implantation (note: different device)	Listed as a related interventional pulmonary artery procedure that may share similar access and imaging workflow; not the same device but illustrates related catheter-based pulmonary interventions.
`93799`	Unlisted cardiovascular procedure or service	Used when no specific CPT code describes implantation of a novel device component or system service associated with the sensor; requires submission of operative report and rationale.
`99152`	Moderate sedation services provided by the same physician performing the procedure (initial 15 minutes)	Billed when moderate sedation is provided by the proceduralist during sensor implantation; documentation must support time and medical necessity.

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Summary & Overview

HCPCS C2624: Implantable Wireless Pulmonary Artery Pressure Sensor