93279 Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care

Name of the Procedure:

Programming Device Evaluation (in person)

Summary

Programming Device Evaluation involves adjusting the settings of an implantable device, such as a pacemaker, to ensure it is functioning correctly and to determine the optimal settings for the patient. This adjustment is performed iteratively, tested, and reviewed by a physician or a qualified healthcare professional.

Purpose

This procedure is designed to ensure that the implantable device is functioning properly and is optimized to meet the specific needs of the patient. The goal is to select permanent programmed values that will offer the best therapeutic outcomes for the patient.

Indications

• Patients with newly implanted pacemakers, defibrillators, or other implantable devices.
• Individuals experiencing symptoms indicative of device malfunction (e.g., dizziness, irregular heartbeats).
• Routine follow-up in patients with existing implantable devices to ensure continued optimal function.

Preparation

• Patients are generally advised to continue their normal medications unless otherwise instructed.
• No fasting or special preparation is usually required.
• A thorough medical history and physical examination may be conducted beforehand.

Procedure Description

1. The patient will be comfortably seated or lying down.
2. The healthcare professional will use a specialized programming device to communicate with the implantable device.
3. Initial settings and functions of the implantable device will be reviewed.
4. Adjustments will be made iteratively, with each change tested to gauge effectiveness.
5. The optimal settings will be selected based on these tests.
6. A final report will be generated and reviewed by the physician.

Duration

Typically takes 30 minutes to 1 hour.

Setting

This procedure is usually performed in an outpatient clinic or an office setting.

Personnel

• Physician or a cardiologist.
• Qualified healthcare professional (e.g., nurse or technician) with experience in device programming.

Risks and Complications

• Minor discomfort or irritation where the device interacts with the skin.
• Rare instances of device malfunction during programming, often rectifiable immediately.
• Potential for temporary symptoms like dizziness or palpitations during testing.

Benefits

• Ensures the implantable device is functioning correctly.
• Optimizes the device settings for better therapeutic outcomes.
• Improves symptom management and overall quality of life.

Recovery

• Little to no downtime; patients can typically resume normal activities immediately.
• Follow any specific guidelines provided by the healthcare professional.
• Schedule follow-up appointments as recommended.

Alternatives

• Non-invasive monitoring methods, although they may not provide the same depth of information.
• Manual adjustments without iterative testing, which may not be as precise.
• Medication adjustments, depending on the condition being treated.

Patient Experience

• The patient may feel mild sensations as the device is tested and adjusted.
• Typically no pain, but any discomfort should be minimal and brief.
• Comfort measures will be in place to ensure a positive experience.