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Description

The BAT modulation system received FDA approval in August 2019, and the CPT Editorial Panel approved conversion from a Category III code set to a Category I code set at the September 2024 CPT Panel meeting through the creation of the following CPT codes: 64654 ( Initial open implantation of baroreflex activation therapy (BAT) modulation system, including lead placement onto the carotid sinus, lead tunnelling, connection to a pulse generator placed in a distant subcutaneous pocket (that is, total system), and intraoperative interrogation and programming ), 64655 ( Revision or replacement of baroreflex activation therapy (BAT) modulation system, with intraoperative interrogation and programming

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Toral et al

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Operators then add an antisolvent (typically methyl tert-butyl ether or MTBE) to precipitate the peptide into a solid cake, which is then filtered and washed multiple times to remove residual solvents and impurities

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