CPT® Code 94772

1. Indications

The pediatric pneumogram is indicated for various clinical scenarios where monitoring of an infant's respiratory and cardiac functions is necessary. The following conditions may warrant the performance of this procedure:

• Suspected Sleep Apnea The procedure is often performed when there is a suspicion of sleep apnea in infants, which can lead to intermittent cessation of breathing during sleep.
• Respiratory Distress Infants exhibiting signs of respiratory distress may require this monitoring to evaluate their breathing patterns and oxygenation status.
• Cardiac Abnormalities The pneumogram can be useful in assessing infants with known or suspected cardiac issues, as it provides valuable data on heart rate and rhythm.
• Monitoring of Premature Infants Premature infants, who are at higher risk for respiratory complications, may be monitored to ensure adequate respiratory function and oxygenation.

2. Procedure

The pediatric pneumogram procedure involves several critical steps to ensure accurate and comprehensive monitoring of the infant's respiratory and cardiac functions. The following outlines the procedural steps:

• Preparation of the Infant The infant is prepared for the procedure by ensuring a calm environment. The healthcare provider may explain the procedure to the caregivers to alleviate any concerns.
• Placement of Electrodes Breathing and heart rate electrodes are carefully placed on the infant's chest. These electrodes are designed to capture the electrical activity associated with breathing and heart function.
• Application of Oxygen Sensor An oxygen sensor is attached to the infant's finger or toe. This sensor is crucial for monitoring the oxygen saturation levels in the blood throughout the recording period.
• Connection to Recording Device All electrodes and sensors are connected to a recording device that will continuously monitor and record the physiological data for the specified duration of 12 to 24 hours.
• Monitoring Period The recording device captures data continuously during the monitoring period. Caregivers are advised to keep the infant in a stable position to ensure accurate readings.
• Data Review and Reporting After the completion of the monitoring period, the physician reviews the recorded data. A detailed written report is generated, summarizing the findings and any significant observations made during the monitoring.

3. Post-Procedure

Post-procedure care for the infant involves removing the electrodes and oxygen sensor once the recording is complete. The healthcare provider will ensure that the infant is comfortable and monitor for any immediate reactions to the removal of the devices. The physician will then analyze the recorded data and provide a report, which may include recommendations for further evaluation or treatment based on the findings. Caregivers may be advised on any necessary follow-up appointments or additional testing that may be required depending on the results of the pneumogram.