93288 Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead pacemaker syste

Name of the Procedure:

Interrogation device evaluation (in person) with analysis, review, and report by a physician or other qualified health care professional, includes connection, recording, and disconnection per patient encounter; single, dual, or multiple lead pacemaker system.

Summary

This procedure involves checking a pacemaker device to ensure it is working correctly. A healthcare professional will connect to the pacemaker, retrieve its data, analyze the information, and provide a report. This can include pacemakers with one, two, or multiple leads.

Purpose

Pacemaker interrogation helps ensure the device is functioning properly and is set correctly to manage the patient's heart rhythm. It addresses issues like abnormal heart rhythm (arrhythmia) and helps in adjusting the pacemaker settings for optimal performance and patient health.

Indications

• Symptoms like dizziness, fainting, or palpitations.
• Routine follow-up for patients with a pacemaker.
• Suspected malfunctions of the pacemaker.
• Regular management and optimization of pacemaker settings.

Preparation

• Patients may be asked to keep a record of any symptoms experienced.
• No specific fasting or medication adjustments unless advised by the doctor.
• Possibly an initial assessment like an EKG.

Procedure Description

1. The patient arrives at the healthcare facility.
2. The healthcare professional connects a special programmer device to the pacemaker.
3. Data is recorded from the pacemaker, including heart rhythms and device function.
4. The data is analyzed and reviewed.
5. The device is adjusted if necessary, and the patient is disconnected from the programmer.
6. A detailed report is generated and discussed with the patient.

Tools: Programmer device, computer software for analysis. Anesthesia: None required, as this is a non-invasive procedure.

Duration

Typically takes about 30 minutes to an hour.

Setting

Performed in a hospital, outpatient clinic, or a specialized cardiac center.

Personnel

• Physician or cardiologist specializing in electrophysiology.
• Cardiac nurse.

Risks and Complications

Common: Minor discomfort during the connection process. Rare: Infection at the site of pacemaker implantation, device malfunction during adjustment.

Benefits

Ensures the pacemaker is working as intended, potentially preventing serious heart rhythm issues. Benefits are realized immediately after the procedure with optimized device settings.

Recovery

• No specific recovery period needed.
• Patients can typically resume normal activities immediately.
• Follow-up appointments may be scheduled as necessary.

Alternatives

• Remote pacemaker monitoring (less detailed but convenient).
• Manual checks like pulse monitoring (less precise).

Pros and Cons:

• Remote monitoring is convenient but may miss detailed data.
• Manual checks are simple but less accurate than device interrogation.

Patient Experience

The patient might feel slight discomfort during the connection of the programmer device. There is typically no pain. Healthcare providers will ensure comfort and explain each step. After the procedure, the patient can immediately return to their daily routine.

Pain Management: Not usually necessary as the procedure is non-invasive. Comfort Measures: Clear explanations and reassurance by healthcare professionals during the process.