93299 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support

Name of the Procedure:

Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support

Common name(s): Remote Cardiac Monitoring, Remote ICD Interrogation.

Summary

This procedure involves the remote monitoring of an implantable cardiovascular device or subcutaneous cardiac rhythm monitor. It includes collecting data from the device, transmitting it to healthcare providers, and having a technician review and provide technical support.

Purpose

This procedure addresses heart conditions requiring continuous monitoring of heart rhythms and physiological parameters. The goal is to detect abnormalities promptly, manage heart conditions effectively, and ensure the implantable device is functioning correctly.

Indications

Primary indications for this procedure include patients with:

• Arrhythmias
• Heart failure
• A history of sudden cardiac arrest
• Post-implantation follow-up for devices such as pacemakers or defibrillators.

Preparation

• Patients should ensure their cardiac device is functioning and transmitting data.
• No special fasting or medication adjustments are generally required.
• Prior diagnostic tests are typically part of the initial device implantation protocol.

Procedure Description

1. The cardiac device records physiological data (e.g., heart rhythms).
2. This data is transmitted remotely through a secure, wireless connection to a monitoring center.
3. Technicians review the transmitted data to identify any abnormalities or issues.
4. Technical support ensures the device is working correctly and communicates findings to the healthcare provider.

Tools and equipment: Cardiac monitor device, data transmission device, secure communication software.

Duration

This is an ongoing process conducted over up to 30 days.

Setting

Remote monitoring; does not require the patient to visit a healthcare facility.

Personnel

• Technicians specializing in cardiac device monitoring.
• Support staff for technical assistance.
• Cardiologists or other healthcare providers for data interpretation and follow-up.

Risks and Complications

Common risks:

• Data transmission failures due to technical issues. Rare complications:
• Device malfunction that requires immediate attention.

Benefits

• Continuous, real-time monitoring without frequent hospital visits.
• Early detection of heart problems leading to timely interventions.
• Peace of mind for patients with serious heart conditions.

Recovery

Not applicable as this is a monitoring process and not a surgical procedure.

Alternatives

• In-office device interrogation and check-ups: More direct but less convenient and frequent.
• Event monitors or Holter monitors: Provide episodic rather than continuous monitoring and require physical return of the device for data analysis.

Patient Experience

Patients do not experience physical sensations related to the remote monitoring. They should ensure that the transmission equipment is correctly set up and may interact with technical support if any issues arise.