CPT® Code 93290

Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors

The CPT® Code 93290 refers to an in-person interrogation device evaluation of an implantable cardiovascular physiologic monitor system. This procedure involves a comprehensive analysis, review, and reporting conducted by a physician or other qualified healthcare professional. The evaluation includes the connection, recording, and disconnection of the device during a single patient encounter. The primary focus of this procedure is to analyze one or more recorded physiologic cardiovascular data elements obtained from both internal and external sensors associated with the implantable monitor. These monitors are crucial for providing hemodynamic monitoring, particularly in the management of non-rhythm related cardiac conditions such as heart failure or unexplained syncope and collapse. The internal sensors of the device are capable of measuring various hemodynamic parameters, including intracardiac pressures—specifically right ventricular and left atrial pressures—as well as pulmonary artery pressure, the volume of fluid in the lungs, and the patient's body temperature. External sensors complement this data by monitoring physical activity levels, blood pressure, heart rate, and body weight. During the evaluation, a connection is established between the monitoring device and the interrogation device, allowing the healthcare professional to review the interrogated data. This review process assesses the functionality of the physiologic monitor and the current programmed parameters, ensuring that the device is operating correctly. The stored data from the device is meticulously reviewed and compared with previous data acquisitions to identify any changes or trends in the patient's condition. Key data elements that may be analyzed include the patient's weight, systemic blood pressure, atrial and ventricular pressures, pulmonary artery pressure, and intra-thoracic impedance measurements. Additionally, the evaluation includes an assessment of the monitor's ability to sense and capture data accurately, as well as its mechanical function, which encompasses the leads and battery status. Any alerts generated by the device during the monitoring period are also reviewed. Following the evaluation, the patient is informed of the findings, and a written report detailing the analysis is provided to ensure clear communication of the results and any necessary follow-up actions.