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 cardiovascular physiologic monitor
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
Common Name(s): Device Interrogation, Device Check
Technical/Medical Terms: Implantable Cardiovascular Physiologic Monitor Evaluation
Summary
This procedure involves checking an implantable cardiovascular device that monitors physiological parameters of the heart. The healthcare professional connects to the device, records necessary data, reviews the information, and prepares a report on the findings.
Purpose
The procedure helps to ensure that the implantable cardiovascular device is functioning correctly and effectively monitoring the heart. The goals are to detect any issues with the device, gather valuable health data, and make any necessary adjustments to improve patient outcomes.
Indications
- Patients with an implantable cardiovascular monitor.
- Symptoms such as dizziness, palpitations, or fainting episodes.
- Regular follow-up for device performance.
- Suspected device malfunction or abnormal recordings.
Preparation
- No special preparation needed.
- Patients may be asked to bring a list of their current medications.
- Patients are advised to wear loose clothing for easy access to the device area.
Procedure Description
- The healthcare professional will clean the area of the device.
- They will use a specialized interrogator device to communicate with the implantable monitor.
- Data will be recorded and reviewed in real-time.
- Adjustments or reprogramming may be performed if needed.
- The findings will be summarized in a comprehensive report.
Tools/Equipment: Interrogator device, computer software
Anesthesia/Sedation: None needed
Duration
The procedure typically takes about 30 to 45 minutes.
Setting
This procedure is usually performed in an outpatient clinic or a specialized device clinic.
Personnel
- Physician or other qualified health care professional (e.g., cardiologist, electrophysiologist)
- Nursing staff for patient preparation and assistance
Risks and Complications
- Minor discomfort during the device assessment.
- Rare chance of device malfunction during interrogation.
Benefits
- Ensures the device is working properly.
- Provides valuable data for ongoing cardiac care.
- Helps in early detection of potential heart-related issues.
Recovery
- No significant recovery time.
- Patients can resume normal activities immediately.
- Follow-up appointments as recommended by the physician.
Alternatives
- External cardiac monitoring.
- Holter monitor or event recorder.
- Pros/Cons: Alternatives may not provide continuous and precise data as implantable monitors do.
Patient Experience
Patients may feel brief, minor discomfort during data recording. Pain management is rarely needed, and comfort measures include ensuring the patient is seated or lying comfortably during the procedure.