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Official Description

Peri-procedural device evaluation (in-person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review, and report by a physician or other qualified health care professional, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

A peri-procedural device evaluation involves a comprehensive assessment of an implantable synchronized diaphragmatic stimulation (SDS) system, which is designed to augment cardiac function. This evaluation is conducted either before or after a surgical procedure, test, or other medical intervention. The process includes programming the device system parameters, which are critical for the optimal functioning of the SDS system. During this evaluation, a physician or another qualified healthcare professional performs an analysis and review of the device's data, generating a report that outlines the findings and any necessary adjustments. The procedure begins with informing the patient about the need to modify the device parameters, detailing the planned changes, their duration, and the timing for restoring the device to its original settings or adjusting it to new post-procedure parameters. A connection is established between the SDS system and the programming software, allowing for interrogation of the device data. This step involves reviewing stored information, including patient-specific and system parameters, as well as evaluating the leads and generator of the device. Following the initial assessment, any required pre-procedure programming changes are implemented, and the device is interrogated again to confirm that these changes have been successfully made. The healthcare professional then evaluates the patient to ensure that they are tolerating the temporary adjustments and that their cardiac condition remains stable. After the surgical procedure or test, the patient undergoes a further evaluation, and if deemed appropriate, the SDS device parameters are reverted to their pre-procedure settings. The patient is then re-evaluated, any necessary adjustments are made, and a written report is produced to document the entire process. Finally, the patient receives instructions regarding any follow-up services or procedures that may be required.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The peri-procedural device evaluation is indicated for patients who have a permanent implantable synchronized diaphragmatic stimulation (SDS) system and require adjustments to the device parameters in relation to an upcoming or recent surgical procedure, test, or other medical intervention. This evaluation is essential for ensuring optimal cardiac function and patient safety during and after the procedure.

  • Permanent Implantable SDS System Patients with a permanent implantable synchronized diaphragmatic stimulation system that requires evaluation and programming adjustments.
  • Upcoming Surgical Procedure Patients scheduled for surgery where device parameter changes may be necessary to optimize cardiac function.
  • Post-Procedure Evaluation Patients who have recently undergone a procedure and need to assess the device's performance and make any necessary adjustments.

2. Procedure

The procedure for the peri-procedural device evaluation consists of several critical steps to ensure the proper functioning of the SDS system.

  • Step 1: Patient Consultation The healthcare professional begins by consulting with the patient to explain the need for device parameter changes, outlining the planned adjustments, their duration, and the timing for restoring the device to its baseline settings or adjusting to new post-procedure parameters.
  • Step 2: Device Connection A connection is established between the SDS system and the programming software device. This step is crucial for accessing the device's data and making necessary adjustments.
  • Step 3: Data Interrogation The device data is interrogated, allowing the healthcare professional to review stored information, including patient-specific parameters, system parameters, and an evaluation of the leads and generator of the device.
  • Step 4: Programming Changes Based on the evaluation, the healthcare professional makes the necessary pre-procedure programming changes to the device. This step is vital for ensuring that the device operates optimally during the surgical procedure or test.
  • Step 5: Verification of Changes After programming changes are made, the device is interrogated again to verify that the adjustments have been successfully implemented and are functioning as intended.
  • Step 6: Patient Evaluation The healthcare professional evaluates the patient to ensure that they are tolerating the temporary changes and that their cardiac condition remains stable throughout the process.
  • Step 7: Post-Procedure Assessment Following the surgery, procedure, or test, the patient is evaluated again. If appropriate, the SDS device parameters are returned to the pre-procedure settings, and the patient is re-evaluated for any further adjustments.
  • Step 8: Documentation and Follow-Up A written report is generated to document the entire evaluation process, and the patient is provided with instructions regarding any required follow-up services or procedures.

3. Post-Procedure

After the peri-procedural device evaluation, the patient is closely monitored to ensure that the SDS system is functioning correctly and that the patient is stable. If the device parameters were adjusted, the healthcare professional will assess the patient's response to these changes. Should any issues arise, further adjustments may be made to optimize the device's performance. Additionally, the patient will receive a written report detailing the evaluation and any changes made, along with specific instructions for follow-up care or additional procedures that may be necessary to maintain optimal cardiac function.

Short Descr PERI-PX DEV EVAL ISDSS IP
Medium Descr PERIPROCEDURAL DEVICE EVALUATION IN PERSON ISDSS
Long Descr Peri-procedural device evaluation (in-person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review, and report by a physician or other qualified health care professional, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 6 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic cardiovascular services 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 Packaged into APC Rates
Berenson-Eggers TOS (BETOS) none
MUE 1
Date
Action
Notes
2022-01-01 Added Code added
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