Part B Insider (Multispecialty) Coding Alert

Don't Forget to Charge for Programming

Following implantation of a DBS unit, the surgeon (or a neurologist) must test the device and leads and set the initial programming parameters, both in the operating room and in the office setting during the days and weeks following the implant. CPT provides several codes for this service, including:

 

  • CPT 95970 - Electronic analysis of implanted neurostimulator 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 intraoperative 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 - ... complex brain, spinal cord, or peripheral (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, additional 30 minutes after first hour (list separately in addition to code for primary procedure).
  • Other Articles in this issue of

    Part B Insider (Multispecialty) Coding Alert

    View All