Patient-Activated Event Monitoring (PAEM), After-Hours Coverage Only

Patient-Activated Event Monitoring (PAEM), After-Hours Coverage Only

Number
	119461
CPT
	(client bill only)
Synonyms
	PAEM ; Pt Event Monitoring, After Hours
Special Instructions
	After-hours coverage only. Patient-activated event monitoring, 24-hour attended monitoring per 30-day period; receipt of transmissions and analysis. Contact Ambulatory Monitoring Services (AMS) for additional information, 800-289-4358.
Use
	The patient-activated event monitor is an ambulatory electrocardiograph (ECG) looping monitor designed for the diagnostic evaluation of transient symptoms such as dizziness, palpitations, and chest pain. It is also used to diagnose cardiac symptoms that have not been documented with Holter monitoring. The monitor captures data both before and after the patient experiences a cardiac symptom. It can record up to three separate events. After the data are transferred telephonically to an AMS analysis laboratory, the report provides a practical, convenient means of collecting diagnostic ECGs over an extended period of time for patients with symptoms of cardiac arrhythmia.
References
	Fogel RI, Gest CR, Evans JJ, et al, “Are Event Recorders Useful and Cost Effective in the Diagnosis of Palpitations, Presyncope, and Syncope?” J Am Coll Cardiol, Anaheim, CA: 42nd Annual Scientific Session, American College of Cardiology, March 14-18, 1993 (abstract). Kasanin N, Viotijevic B, Abastado M, et al, “Transtelephonic ECG Monitoring: Experiences of 2128 Cases,” Cardiostim, 1992. Linzer M, Prystowsky EN, Brunetti LL, et al, “Recurrent Syncope of Unknown Origin Diagnosed by Ambulatory Continuous Loop ECG Recording,” Am Heart J, 1988, 116(6 Pt 1):1632-4.