CPT® Code 0391T

Deleted

1. Indications

The interrogation of a leadless pacemaker system is performed under specific clinical circumstances to ensure the device is functioning correctly and to monitor the patient's cardiac health. The following indications warrant this procedure:

• Routine Follow-Up Regular evaluations are necessary to assess the performance of the leadless pacemaker and to ensure that it is meeting the patient's cardiac needs.
• Battery Life Assessment Monitoring the battery status is crucial to determine if the pacemaker requires replacement or if it is functioning within expected parameters.
• Capture and Sensing Function Evaluation This procedure helps to verify that the pacemaker is effectively capturing heartbeats and sensing the heart's electrical activity accurately.
• Heart Rhythm Monitoring The evaluation allows for the analysis of the patient's heart rhythms, which is essential for identifying any arrhythmias or other cardiac issues.

2. Procedure

The procedure for interrogating a leadless pacemaker system involves several key steps that ensure a comprehensive evaluation of the device's functionality. The following steps outline the process:

• Step 1: Patient Preparation The patient is prepared for the procedure by ensuring they are in a comfortable position, and the area where the electrodes will be placed is clean and accessible. The clinician explains the procedure to the patient to alleviate any concerns.
• Step 2: Electrode Placement Electrocardiogram electrodes are placed on the patient's chest and extremities. This placement is critical as it allows for accurate recording of the heart's electrical activity during the evaluation.
• Step 3: Device Connection The electrodes are connected to a computer that is equipped with specialized software. This connection enables the downloading of data from the leadless pacemaker system, which is essential for the subsequent analysis.
• Step 4: Data Recording Once connected, the clinician initiates the recording process. The software captures various parameters, including battery life, capture and sensing functions, and heart rhythms, which are stored within the pacemaker.
• Step 5: Data Analysis After the recording is complete, the clinician reviews and analyzes the data displayed on the screen or printed out. This analysis is crucial for understanding the performance of the leadless pacemaker and identifying any potential issues.
• Step 6: Report Generation Finally, the clinician compiles the findings into a written report. This report details the evaluation results, including any necessary recommendations for the patient's ongoing care and management of the leadless pacemaker system.

3. Post-Procedure

After the interrogation of the leadless pacemaker system, the patient may be monitored briefly to ensure there are no immediate complications or adverse reactions. The clinician will discuss the findings from the evaluation with the patient, providing insights into the performance of the device and any necessary follow-up actions. Depending on the results, the clinician may recommend additional monitoring or adjustments to the pacemaker settings. Patients are typically advised on the importance of regular follow-up appointments to ensure the continued effectiveness of the leadless pacemaker and to address any emerging cardiac concerns.