CPT® Code 0684T

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

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.