93260 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 is a procedure where a physician or a qualified health care provider adjusts and tests the settings of an implantable medical device in-person. The goal is to ensure the device is working effectively and to set optimal permanent programmed values.

Purpose

This procedure addresses issues with the functioning of implantable devices, such as pacemakers or defibrillators, by fine-tuning their settings. The main goal is to optimize the device's functionality for better health outcomes.

Indications

• Irregularities or issues with the performance of an implantable device
• Symptoms such as dizziness, palpitations, or unexplained fatigue related to device settings
• Routine follow-up to ensure the device is operating correctly

Preparation

• Patients may need to fast for a certain period before the procedure
• Medication adjustments might be required
• Diagnostic tests, such as an ECG or device interrogation, could be needed beforehand

Procedure Description

1. The patient arrives at the clinic or hospital.
2. An initial assessment of the device is conducted using specialized equipment.
3. The physician adjusts the device's settings incrementally while monitoring the patient's response.
4. Each adjustment may involve testing different parameters to evaluate the device's performance.
5. Upon reaching the optimal settings, the final programmed values are saved.
6. The physician reviews and documents the results, providing a comprehensive report.

Duration

Typically takes about 30 minutes to 2 hours.

Setting

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

Personnel

• Physician or a qualified healthcare provider specializing in cardiac or neurological devices
• Nurses or medical technicians for support

Risks and Complications

• Minor risks such as discomfort during adjustments or mild skin irritation from leads
• Rare risks include device malfunction or software issues
• In case of complications, immediate medical intervention can manage most issues effectively

Benefits

• Improved functionality of the implantable device
• Enhanced quality of life with better symptom management
• Benefits are often realized shortly after the adjustment

Recovery

• Minimal to no recovery time needed
• Patients can usually resume normal activities soon after the procedure
• Follow-up appointments may be scheduled to monitor device performance

Alternatives

• Non-invasive monitoring and adjustment through remote technology
• Medication management for underlying conditions without device adjustments
• Alternative therapies or interventions, depending on the underlying medical condition

Patient Experience

• Patients may feel slight discomfort during adjustments
• Heart rhythm changes can sometimes be felt during testing periods
• Pain management and comfort measures are available to ensure patient ease