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Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional

CPT4 code

Name of the Procedure:

Interrogation Device Evaluation(s) (Remote), Up to 90 Days; Single, Dual, or Multiple Lead Implantable Defibrillator System with Interim Analysis, Review(s) and Report(s) by a Physician or Other Qualified Health Care Professional

Summary

Interrogation device evaluation is a remote monitoring procedure used to check the function and performance of your implantable defibrillator system. This evaluation helps to ensure the device is working correctly and effectively managing heart rhythms. It involves periodic assessments over a span of up to 90 days, with reports reviewed by a qualified health professional.

Purpose

The procedure monitors implantable defibrillators to ensure they are functioning properly and promptly addressing abnormal heart rhythms.

  • Medical Condition: Arrhythmias, heart failure, or other heart conditions requiring a defibrillator.
  • Goals: To detect issues with the defibrillator, ensure the device's settings are optimal, and address any anomalies.

Indications

This procedure is indicated for:

  • Patients with a history of serious arrhythmias.
  • Individuals with heart failure or at high risk of sudden cardiac arrest.
  • Patients currently implanted with a defibrillator system.

Preparation

  • Follow any specific instructions provided by your healthcare provider.
  • Ensure your home monitoring equipment is set up and functioning.
  • No special fasting or medication adjustments are generally required.

Procedure Description

  1. Data Transmission: The implantable defibrillator transmits data to a remote monitoring device.
  2. Interim Analysis: The data is periodically analyzed to check for irregularities.
  3. Review: A physician or qualified healthcare professional reviews the transmitted data and interim analyses.
  4. Report: Reports are generated and interpreted to guide further patient management.

Tools and Equipment: Remote monitoring device and communication technology. Anesthesia: Not applicable.

Duration

The monitoring and evaluations span up to 90 days.

Setting

This is a remote procedure performed while the patient carries out their daily activities, with data sent to healthcare professionals from home or other non-medical settings.

Personnel

  • Physician or a qualified healthcare professional.
  • Technical support for remote monitoring equipment, if needed.

Risks and Complications

  • Data transmission errors.
  • Potential for delayed response to device malfunction due to reliance on remote monitoring.

Benefits

  • Continuous assessment of the defibrillator's function.
  • Early detection of device malfunctions or complications.
  • Improved management of heart conditions through timely adjustments.

Recovery

No significant recovery needed as it is a remote monitoring procedure.

  • Follow any additional instructions provided by your health professional.
  • Regularly scheduled follow-ups may be necessary based on the findings.

Alternatives

  • In-office device interrogation: Requires visits to the healthcare provider's office but offers immediate feedback.
  • Manual symptom logging and periodic device checks: Less technological dependence but may miss early detection.

Patient Experience

  • No physical discomfort as the procedure is non-invasive.
  • Regular interaction with the monitoring system to ensure data transmission.
  • Minimal disruption to daily life with reliance on remote technology.

Medical Policies and Guidelines for Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional

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