CPT® Code 0498T

Deleted

External patient-activated, physician- or other qualified health care professional-prescribed, electrocardiographic rhythm derived event recorder without 24-hour attended monitoring; review and interpretation by a physician or other qualified health care professional per 30 days with at least one patient-generated triggered event

An external patient-activated electrocardiographic rhythm derived event recorder, also known as an ambulatory external electrocardiogram (AECG), is a diagnostic tool prescribed by a physician or other qualified health care professional. This device is specifically designed to document suspected cardiac arrhythmias, which may occur with or without episodes of syncope (fainting). It is also utilized to assess suspected cardiac muscle ischemia, which is characterized by ST segment depression on an electrocardiogram. Additionally, this recorder can help evaluate the effectiveness of anti-arrhythmia drug therapy, monitor the recurrence of arrhythmias after the discontinuation of such therapies, and determine the success or failure of ablation therapy. The device is compact and leadless, allowing the patient to carry it conveniently. When the patient experiences symptoms indicative of a cardiac event, they can apply the device to their chest wall and activate the ECG recording. Once the event concludes, the patient transmits the recorded data to a central monitoring site using either a telephone line or a wireless modem. This data is then analyzed and validated, resulting in a report that is sent to the health care provider for further evaluation. It is important to note that CPT® Code 0498T specifically pertains to the review and interpretation of at least one patient-generated triggered event that occurs over a 30-day period, while Code 0497T is used to report the in-office connection of the external patient-activated electrocardiographic rhythm derived event recorder.