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Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors, analysis, review(s

CPT4 code

Name of the Procedure:

Interrogation Device Evaluation (Remote) for up to 30 Days; Implantable Cardiovascular Physiologic Monitor System

Summary

This procedure involves remotely evaluating an implantable cardiovascular monitor for up to 30 days. It includes analyzing data recorded by the device, such as heart rate, rhythm, and other physiological parameters.

Purpose

This procedure helps in continuous monitoring of cardiovascular health. It aims to detect abnormalities, manage existing heart conditions, and ensure the proper functioning of the implantable device.

Indications

  • Irregular heart rhythms (arrhythmias)
  • Monitoring after heart surgery or cardiac events
  • Chronic cardiovascular conditions requiring ongoing oversight
  • Unexplained syncope (fainting)

Preparation

  • Ensure the implantable device is properly positioned and programmed.
  • Patients may need to follow specific instructions regarding physical activity or positioning.
  • No significant preparation is generally required for the remote monitoring setup.

Procedure Description

  1. The implantable cardiovascular sensor continuously monitors various parameters.
  2. Data is transmitted remotely to a healthcare provider.
  3. Over 30 days, multiple data points are collected and analyzed.
  4. The analysis focuses on heart rate, rhythm, and other relevant physiological data.

Duration

The monitoring lasts up to 30 days, with periodic evaluations during this period.

Setting

  • Remote, with data likely transmitted from the patient's home to a healthcare facility for analysis.

Personnel

  • Cardiologists
  • Technicians specializing in cardiovascular device data

Risks and Complications

  • Data transmission issues
  • Sensor faults or malfunctions
  • Minimal physical risk since it is a non-invasive, remote procedure

Benefits

  • Continuous, real-time monitoring of cardiovascular health
  • Early detection of potential heart problems
  • Minimal disruption to daily life compared to in-clinic visits

Recovery

No recovery is needed as this is a monitoring procedure.

Alternatives

  • In-clinic cardiovascular monitoring
  • Holter monitors for short-term monitoring
  • Event monitors for intermittent checks

Patient Experience

  • Patients can go about their daily activities.
  • Non-intrusive with no discomfort typically.
  • Should ensure the proper functioning of the remote transmission device and the implantable monitor.

Pain management is not necessary since the procedure is non-invasive.

Medical Policies and Guidelines for Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors, analysis, review(s

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