CPT® Code 93286

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; single, dual, or multiple lead pacemaker system, or leadless pacemaker system

A peri-procedural device evaluation involves a comprehensive assessment and adjustment of a cardiac device, such as a pacemaker or defibrillator, in relation to surgical or procedural interventions. This evaluation is conducted either before or after a surgery, procedure, or diagnostic test, ensuring that the device operates optimally during critical times. The process includes programming the device system parameters, which may involve temporarily altering settings to accommodate the specific needs of the patient during the peri-procedural period. A qualified healthcare professional, typically a physician, performs an analysis and review of the device's data, generating a report that documents the findings and any adjustments made. During this evaluation, the patient is informed about the necessity of changing the cardiac device parameters, including the planned modifications and their expected duration. The healthcare provider establishes a connection between the cardiac device and a programming device to interrogate the device data. This interrogation allows for a thorough review of stored data, which encompasses patient-specific information, system parameters, and an assessment of any leads, sensors, and battery status. Following the necessary pre-procedure programming changes, the healthcare professional verifies these adjustments through further interrogation of the device. The patient's condition is closely monitored to ensure that they tolerate the temporary changes well and that their cardiac status remains stable. After the procedure, the patient undergoes a re-evaluation, and if deemed appropriate, the cardiac device parameters are restored to their original pre-procedure settings. The patient receives instructions regarding any follow-up services or procedures that may be required, ensuring continuity of care and optimal device function.