CPT® Code 0386T | Case2Code

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; review and interpretation only

Common Language Description

The CPT® Code 0386T refers to a specialized non-invasive procedure designed to monitor and assess heart rate and muscle activity over an extended period, specifically more than 30 days. This procedure is particularly relevant for diagnosing nocturnal epilepsy seizure events. During the process, adhesive patches are affixed to the patient's body, which are then connected to sensors that 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 convulsions or vibrations that are characteristic of tonic-clonic seizures, which are a common type of seizure associated with epilepsy. The procedure is crucial for healthcare providers in understanding the patient's condition, as it allows for a comprehensive analysis of changes in heart rate and motion during sleep. The data collected can provide insights into the frequency and nature of seizure events, thereby aiding in the diagnosis and management of nocturnal epilepsy. It is important to note that this code is specifically for the review and interpretation of the data collected, without the inclusion of the actual data recording or scanning analysis, which is covered under other related codes such as 0381T, 0383T, 0385T, and 0384T, each corresponding to different durations of data recording and levels of analysis.

1. Indications

The procedure associated with CPT® Code 0386T is indicated for the assessment of nocturnal epilepsy seizure events. It is specifically utilized in the following scenarios:

Diagnosis of Nocturnal Epilepsy: The procedure is performed to help diagnose patients who may be experiencing seizures during sleep, which can be difficult to detect without continuous monitoring.
Monitoring Heart Rate Changes: It is used to assess changes in heart rate that may occur during seizure events, providing valuable data for understanding the patient's condition.
Motion Analysis: The procedure also monitors muscle activity and motion analysis, which can reveal patterns associated with tonic-clonic seizures.

2. Procedure

The procedure for CPT® Code 0386T involves several key steps that ensure accurate data collection and analysis:

Application of Adhesive Patches: The first step involves the careful application of adhesive patches to the patient's body. These patches are equipped with sensors that are essential for recording both heart rate and muscle activity.
Connection to Sensors: Once the patches are in place, they are connected to sensors that will capture electrocardiogram (ECG) data and monitor motor activity. This connection is crucial for the accurate recording of physiological data during the patient's sleep.
Data Recording: The sensors continuously record data over a period exceeding 30 days. This extended duration allows for a comprehensive assessment of the patient's heart rate and muscle activity patterns, particularly during nocturnal hours.
Wireless Data Transmission: The recorded data is wirelessly transmitted to a computer system. This technology facilitates the efficient transfer of large amounts of data for further analysis.
Data Analysis: The transmitted data is analyzed using specialized software that identifies cardiac patterns and muscle convulsions or vibrations. This analysis is critical for detecting the characteristics of tonic-clonic seizures.
Review and Interpretation: Finally, the data collected is reviewed and interpreted by a physician or qualified healthcare provider. This step is essential for making informed decisions regarding the patient's diagnosis and treatment plan.

3. Post-Procedure

After the completion of the procedure associated with CPT® Code 0386T, the patient may not require any specific post-procedure care related to the adhesive patches, as they are typically removed after the data collection period. However, the physician will review the analyzed data to determine the presence and frequency of nocturnal seizures. Based on the findings, further diagnostic tests or treatment options may be discussed with the patient. It is important for the healthcare provider to communicate the results clearly and to outline any necessary follow-up actions or additional monitoring that may be required to manage the patient's condition effectively.

Short Descr	EX H RATE SZ 30+ DAY RI ONLY
Medium Descr	XTRNL HRT RATE EPI SEIZ OVER 30 DAYS R&I ONLY
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; review and interpretation only
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.