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Code deleted, see 95999

Official Description

External heart rate and 3-axis accelerometer data recording more than 30 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing nocturnal epilepsy seizure events; includes report, scanning analysis with report, review and interpretation by a physician or other qualified health care professional

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 0385T refers to a specialized non-invasive procedure designed to monitor and assess heart rate and muscle activity over an extended period of more than 30 days. This procedure is particularly focused on diagnosing nocturnal epilepsy seizure events. During the process, adhesive patches are affixed to the patient's body, which are connected to sensors that continuously record electrocardiogram (ECG) data and motor activity. The recorded data is wirelessly transmitted to a computer, where it is analyzed using sophisticated software. This software is capable of identifying specific cardiac patterns and muscle movements that are characteristic of tonic-clonic seizures, which are a type of seizure associated with epilepsy. The comprehensive nature of this procedure includes not only the data recording but also a detailed report, scanning analysis, and the review and interpretation of the findings by a physician or other qualified healthcare professional. This thorough approach ensures that the data collected is accurately assessed to aid in the diagnosis of nocturnal epilepsy, providing critical insights into the patient's condition.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 0385T is indicated for the assessment of nocturnal epilepsy seizure events. It is specifically utilized in cases where there is a need to monitor changes in heart rate and analyze motion data during sleep. The following conditions may warrant the use of this procedure:

  • Nocturnal Epilepsy - Patients suspected of experiencing seizures during sleep, which may not be observable during standard clinical evaluations.
  • Unexplained Sleep Disturbances - Individuals presenting with unexplained episodes of sleep disturbances that may be related to seizure activity.
  • Monitoring of Seizure Frequency - Patients requiring ongoing assessment of seizure frequency and characteristics to guide treatment decisions.

2. Procedure

The procedure for CPT® Code 0385T involves several key steps to ensure accurate data collection and analysis. The following outlines the procedural steps:

  • Step 1: Patient Preparation - The patient is prepared for the procedure by explaining the process and ensuring they understand the purpose of the monitoring. Adhesive patches are selected based on the patient's body type and the specific areas where monitoring is required.
  • Step 2: Application of Sensors - Adhesive patches equipped with sensors are applied to the patient's body. These sensors are designed to record both ECG data and motor activity, capturing the necessary information during the patient's sleep.
  • Step 3: Data Recording - The sensors continuously record heart rate and muscle activity over a period exceeding 30 days. This extended monitoring period allows for a comprehensive assessment of the patient's nocturnal activities and potential seizure events.
  • Step 4: Data Transmission - The recorded data is wirelessly transmitted to a computer system. This transmission ensures that the data is securely stored and readily accessible for analysis.
  • Step 5: Data Analysis - Advanced software analyzes the collected data, identifying specific cardiac patterns and muscle movements that may indicate the occurrence of tonic-clonic seizures. This analysis is crucial for accurate diagnosis.
  • Step 6: Report Generation - A detailed report is generated based on the analysis, summarizing the findings and highlighting any significant patterns or events detected during the monitoring period.
  • Step 7: Review and Interpretation - Finally, the report is reviewed and interpreted by a physician or other qualified healthcare professional, who will use the findings to inform the patient's diagnosis and treatment plan.

3. Post-Procedure

After the completion of the monitoring period, the patient may be advised on any necessary follow-up appointments to discuss the findings of the report. The physician will review the data collected and provide insights into the patient's condition, including any recommendations for further testing or treatment options based on the analysis of the heart rate and muscle activity data. Patients may also be instructed on how to manage any ongoing symptoms or concerns related to their nocturnal epilepsy. It is essential for patients to maintain open communication with their healthcare provider regarding any changes in their condition or new symptoms that may arise following the procedure.

Short Descr EX H RATE FOR SZ OVR 30 DAY
Medium Descr XTRNL HRT RATE EPI SEIZ OVER 30 DAYS COMPLETE
Long Descr External heart rate and 3-axis accelerometer data recording more than 30 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing nocturnal epilepsy seizure events; includes report, scanning analysis with report, review and interpretation by a physician or other qualified health care professional
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 Items and Services Not Billable to the MAC
Berenson-Eggers TOS (BETOS) T2D - Other tests - other
MUE Not applicable/unspecified.
Date
Action
Notes
2020-12-31 Deleted Code deleted, see 95999
2016-01-01 Added First appearance in codebook.
2015-01-01 Added Added
Code
Description
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