© Copyright 2026 American Medical Association. All rights reserved.
The procedure described by CPT® Code 0389T involves the in-person programming device evaluation of a leadless pacemaker system. This evaluation is crucial for assessing the functionality of the implantable device and involves iterative adjustments to ensure optimal performance. During this evaluation, the clinician reviews various stored and measured data from the pacemaker, which includes critical parameters such as battery life, capture and sensing functions, and heart rhythms. The evaluation process may also encompass an analysis of sensor responses, rate responses, upper and lower heart rates, atrioventricular (AV) intervals, pacing voltage, and pulse duration. To facilitate this assessment, electrocardiogram (ECG) electrodes are placed on the patient's chest and extremities, allowing for accurate monitoring and data collection. These electrodes are connected to a computer equipped with specialized software that downloads information from the pacemaker, presenting it on a display screen or in a printed format. The clinician then reviews the current functioning of the device, makes necessary adjustments, analyzes the programmed parameters, selects the optimal permanent settings, and generates a comprehensive written report detailing the findings and adjustments made during the evaluation of the leadless pacemaker system.
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