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; implantable subcutaneous lead defibrillator sy
CPT4 code
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; Implantable Subcutaneous Lead Defibrillator System
Summary
This is a comprehensive procedure where a healthcare professional evaluates and tests an implantable subcutaneous lead defibrillator. The process includes connecting to the device, recording its parameters, and then disconnecting after everything has been reviewed and analyzed. A detailed report is then prepared by a healthcare professional.
Purpose
The primary goal is to ensure that the implantable subcutaneous lead defibrillator is functioning correctly. This device helps manage irregular heartbeats by delivering shocks to restore normal rhythm and is essential for patients at risk of life-threatening arrhythmias.
Indications
- History of ventricular tachycardia or fibrillation
- Prior cardiac arrest due to ventricular arrhythmia
- High risk of sudden cardiac death based on medical history
Preparation
- No specific preparation might be needed.
- Patients may be asked to bring their device ID card.
- Routine checks do not usually require fasting or medication adjustments, but always confirm with the healthcare provider.
Procedure Description
- The patient arrives and is asked to lie down.
- The physician or qualified healthcare professional connects a programmer to the implantable defibrillator device without making any incisions.
- The device is interrogated to retrieve data such as battery status, lead integrity, and history of any arrhythmia-related events.
- The data is recorded and thoroughly reviewed.
- Following the review, the programmer is disconnected.
- The healthcare professional prepares a detailed report summarizing the findings and recommendations.
Tools and technology: Device programmer, leads for connection to the implantable device.
Duration
Typically 30-60 minutes.
Setting
Outpatient clinic, hospital, or specialized cardiac care center.
Personnel
Cardiologist, electrophysiologist, or a trained healthcare professional with experience in cardiac devices.
Risks and Complications
- Minimal risk of infection at the connection site.
- Rare risk of interference with the device.
Benefits
- Assurance that the defibrillator is functioning correctly.
- Early detection of potential issues, allowing timely interventions.
- Improved management of the patient's cardiac health.
Recovery
- Immediate resumption of normal activities is typically possible.
- Minimal post-procedure care; the patient can usually go home right afterward.
- Follow-up appointments as recommended by the healthcare provider.
Alternatives
- Remote monitoring, if available and applicable.
- Regular cardiology consultations without device interrogation (less comprehensive).
Patient Experience
- The patient will feel the sensation of the connection but no pain.
- No anesthesia or sedation is required.
- Comfort measures like gentle communication and explaining steps can alleviate any anxiety.
Pain Management and Comfort Measures:
- Generally, no pain is involved.
- Keeping the patient informed throughout the procedure helps in reducing discomfort.