Neurology & Pain Management Coding Alert

CPT provides the six codes listed below for neuro-stimulator analysis/reprogramming. Apply add-on codes +95973 and +95975 only after the first hour with 95972 and 95974, respectively. Do not append modifier -51 (Multiple procedures). You may report an additional 30 minutes if the time extends at least 16 minutes beyond the previously billed unit of time. For example, 72 minutes of programming equals 95972; but 76 minutes equals 95972, +95973; 107 minutes equals 95972, +95973 x 2, etc.

95970 Electronic analysis of implanted neuro-stimulator pulse generator system (e.g., rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); simple or complex brain, spinal cord, or peripheral (i.e., cranial nerve, peripheral nerve, autonomic nerve, neuromuscular) neurostimulator pulse generator/transmitter, without reprogramming

95971 simple brain, spinal cord, or peripheral (i.e., peripheral nerve, autonomic nerve, neuromuscular) neurostimulator pulse generator/transmitter, with intra-operative or subsequent programming

95972 complex brain, spinal cord, or peripheral (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, first hour

+ 95973 each additional 30 minutes after first hour (list separately in addition to code for primary procedure)

95974 complex cranial nerve neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, with or without nerve interface testing, first hour

+ 95975 each additional 30 minutes after first hour (list separately in addition to code for primary procedure).