CPT® Code 0305T | Case2Code

Official Description

Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values, with analysis, review, and report

Common Language Description

The CPT® Code 0305T refers to the programming device evaluation of an intracardiac ischemia monitoring system conducted in person. This procedure involves the iterative adjustment of programmed values, along with a comprehensive analysis, review, and report of the device's performance. An intracardiac ischemia monitoring system is designed to measure ST segment changes in real time, providing critical alerts to patients when a cardiac ischemic event is detected. This is particularly important for individuals who may not experience or recognize typical warning signs such as chest pain, shortness of breath, nausea, or diaphoresis (sweating). By utilizing this monitoring system, the time between the onset of an ischemic event and the patient's arrival at the emergency room can potentially be reduced, thereby improving outcomes. The system consists of several components, including a programmable implantable monitoring device (IMD), a right ventricular lead wire, a lead wire adapter, an external alarm device (EXD), and a programming unit. The IMD is capable of storing event data, which can be downloaded for interpretation by the treating physician. Regular evaluations and adjustments of the device are essential to ensure accurate programming and effective data capture. Code 0305T is specifically used for in-person evaluations that include any necessary adjustments to the programmed values, with the adjustments being made via an external programming device. Additionally, a detailed analysis, review, and written report are integral parts of this evaluation service.

1. Indications

The procedure associated with CPT® Code 0305T is indicated for patients who have an intracardiac ischemia monitoring system in place. This system is particularly beneficial for individuals who may not exhibit typical symptoms of cardiac ischemia, such as:

Chest Pain: Patients may experience discomfort or pain in the chest area, which is a common symptom of cardiac ischemia.
Shortness of Breath: Difficulty in breathing can occur during ischemic events, signaling a need for immediate medical attention.
Nausea: Some patients may feel nauseous during a cardiac event, which can be a warning sign of ischemia.
Diaphoresis: Excessive sweating, often referred to as diaphoresis, can be a symptom of an impending cardiac issue.

2. Procedure

The procedure for CPT® Code 0305T involves several key steps to ensure the effective evaluation and adjustment of the intracardiac ischemia monitoring system:

Step 1: Patient Preparation The patient is prepared for the evaluation by ensuring that they are in a comfortable position and that the monitoring device is accessible for programming. The healthcare provider may review the patient's medical history and any previous data from the monitoring system to tailor the evaluation process.
Step 2: Device Programming The healthcare provider uses an external programming device to access the intracardiac ischemia monitoring system. This step involves adjusting the programmed values based on the patient's specific needs and the data collected from the device. The adjustments are made iteratively to optimize the device's performance.
Step 3: Data Analysis After programming, the healthcare provider conducts a thorough analysis of the device's stored data. This includes reviewing any recorded ischemic events and assessing the device's responsiveness to those events. The analysis is crucial for understanding the effectiveness of the monitoring system.
Step 4: Review and Reporting Following the analysis, the healthcare provider compiles a detailed review of the findings. A written report is generated, summarizing the evaluation process, adjustments made, and any recommendations for future monitoring or follow-up care. This report is essential for ongoing patient management and communication with other healthcare providers.

3. Post-Procedure

Post-procedure care following the programming device evaluation includes monitoring the patient for any immediate reactions to the adjustments made to the intracardiac ischemia monitoring system. Patients may be advised to maintain regular follow-up appointments to ensure the device continues to function optimally and to address any concerns that may arise. Additionally, the healthcare provider may discuss the importance of recognizing symptoms of cardiac ischemia and the appropriate actions to take should they occur. Continuous monitoring and periodic evaluations are essential to ensure the device remains accurately programmed and effective in alerting the patient to potential cardiac events.

Short Descr	ICAR ISCHM MNTRNG PRGRM EVAL
Medium Descr	PROGRAM EVAL ICAR ISCHM MNTRNG SYS
Long Descr	Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values, with analysis, review, and report
Status Code	Carriers Price the Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	STV-Packaged Codes
Type of Service (TOS)	2 - Surgery
Berenson-Eggers TOS (BETOS)	P6C - Minor procedures - other (Medicare fee schedule)
MUE	Not applicable/unspecified.
CCS Clinical Classification	49 - Other OR heart procedures