Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple
CPT4 code
Name of the Procedure:
Peri-Procedural Device Evaluation and Programming of Device System Parameters (In Person)
Summary
This procedure involves the in-person evaluation and programming of a medical device's settings by a physician or other qualified health care professional. It is done before or after a surgery, procedure, or test to ensure the device functions optimally during these critical times. This may include devices such as pacemakers, defibrillators, or other implantable devices.
Purpose
Medical Condition
Ensures that implantable or external medical devices are operating correctly and can be adjusted as needed for optimum performance.
Goals
- To provide a thorough analysis and reprogramming to ensure device efficacy pre- or post-operation.
- To review device performance and make necessary adjustments based on the patient's condition and needs.
Indications
Symptoms or Conditions
- Patients with existing implantable devices like pacemakers or defibrillators.
Patients scheduled for surgeries or medical procedures that might affect their device's function.
Patient Criteria
- Individuals with single, dual, or multiple device systems needing evaluation and adjustment.
- Patients experiencing issues like device malfunctions, irregular heart rhythms, or other symptoms indicating device malfunction.
Preparation
Pre-Procedure Instructions
- Follow specific instructions provided by the healthcare team, such as fasting or medication adjustments.
Bring a list of current medications and medical history.
Diagnostic Tests
- Electrocardiogram (EKG)
- Blood tests
- Imaging studies, if required
Procedure Description
- Review Medical History: The healthcare professional reviews the patient's medical history and current device settings.
- Device Interrogation: Using specialized equipment, the device is interrogated to gather data.
- Programming Adjustments: Parameters are adjusted based on the patient's condition and needs.
- Testing: The device is tested to ensure new settings are functioning correctly.
- Analysis: Comprehensive analysis of device data is performed.
- Report Generation: A detailed report is created and discussed with the patient.
Tools and Equipment
- Device interrogator and programmer specific to the device type.
- Computer or handheld device for programming.
Anesthesia or Sedation
- Typically not required for this procedure.
Duration
- Approximately 30 minutes to 1 hour, depending on complexity.
Setting
- Can be performed in a hospital, outpatient clinic, or surgical center.
Personnel
- Qualified healthcare professionals such as physicians, cardiologists, or electrophysiologists.
- Trained nursing staff for assistance.
Risks and Complications
Common Risks
- Minor discomfort during device interrogation.
Rare Risks
- Infection at the device site.
- Accidental device malfunction.
Management
- Immediate intervention by healthcare professionals in case of complications.
Benefits
- Ensures optimal device function.
- Enhances patient safety during and after surgical or medical procedures.
- Timely adjustments improve overall health outcomes and device longevity.
Recovery
Post-Procedure Care
- Monitoring for a short period post-evaluation to ensure device stability.
- Resume normal activities as advised by the healthcare provider.
Recovery Time
- Minimal to none; patients can often immediately continue with their daily activities.
Follow-up
- Scheduled follow-up appointments to reassess device function.
Alternatives
Other Treatment Options
- Remote device monitoring and adjustments.
- Conservative management with symptom monitoring without reprogramming.
Pros and Cons
- Alternatives may offer convenience but may not provide the immediate and thorough assessment achievable through in-person evaluation.
Patient Experience
During the Procedure
- Mild discomfort may be experienced during device interrogation.
- Minimal pain, as anesthesia is typically not required.
After the Procedure
- Patients should feel the same or better if adjustments improve the device function.
- Immediate return to most normal activities.
Pain Management and Comfort
- Discomfort is usually minimal and manageable with over-the-counter pain relief if needed.