CPT® Code 93299

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1. Indications

The procedure described by CPT® Code 93299 is indicated for patients who require continuous monitoring of their cardiovascular health through an implantable cardiovascular physiologic monitor system or a subcutaneous cardiac rhythm monitor system. The following conditions may warrant the use of this remote interrogation evaluation:

• Cardiac Arrhythmias Patients experiencing irregular heartbeats or arrhythmias may need ongoing monitoring to assess the frequency and nature of these events.
• Heart Failure Individuals diagnosed with heart failure may require close observation of their cardiac function to manage their condition effectively.
• Post-Operative Monitoring Patients who have undergone cardiac procedures may need to be monitored remotely to ensure proper recovery and device functionality.
• Device Functionality Assessment Patients with implanted devices may need regular evaluations to ensure that the devices are functioning correctly and to identify any potential issues early.

2. Procedure

The procedure for CPT® Code 93299 involves several key steps that ensure comprehensive monitoring and evaluation of the patient's implantable cardiovascular device. The following procedural steps are performed:

• Patient Registration The patient is registered at a monitoring facility for remote interrogation. This registration process includes providing the patient with the necessary equipment and installation instructions to facilitate the monitoring process.
• Establishment of Interrogation Schedule Based on the physician's orders, an interrogation schedule is established. This schedule outlines the frequency and timing of the remote evaluations to ensure consistent monitoring.
• Device Interrogation The technician performs the device interrogation according to the established schedule. This involves collecting data transmitted from the patient's device to the monitoring facility.
• Data Review Upon receiving the transmitted data, the technician reviews it thoroughly. This review includes comparing the data against the parameters set by the physician to assess the patient's cardiac status.
• Device Function Evaluation The technician evaluates the functionality of the device, including checking the leads and battery status. This step is crucial for identifying any potential issues that may affect the device's performance.
• Communication of Findings Any variations from the established parameters, device alerts, and patient-reported symptoms are documented and communicated to the physician. This ensures that the physician is informed of any critical changes in the patient's condition.
• Data Transfer and Reporting Finally, the technician transfers all interrogated data and findings to the physician's database. A comprehensive report is generated, summarizing the evaluated parameters for the physician's review and further action.

3. Post-Procedure

After the remote interrogation evaluations are completed, the technician ensures that all data is accurately documented and transferred to the physician's database. The physician will review the comprehensive report generated from the interrogation findings. Based on this review, the physician may decide on further management or treatment options for the patient. Continuous communication between the technician and the physician is essential to address any identified issues promptly. Additionally, the patient may receive follow-up instructions or recommendations based on the findings from the remote monitoring, ensuring ongoing care and support for their cardiovascular health.