Results 1 to 3 of 3

Cpt 95971

  1. #1
    Default Cpt 95971
    Medical Coding Books
    I received a denial from Ins for the second unit. Doctor documentated that he inserted 2 electrodes implant (T9 and T10) on the patient and performed 2 different sites ( T9 and T10) of spinal cord analysis and testing. Could I charge 95971 for 1 unit or 2 unit? Please advice.

  2. #2
    If this was a trial (temporary lead attached to an external pulse generator) the programming would be inclusive and not separately reportable.

    Below referencing a Q and A from Dec 10 CPT Assistant you can see that since the programming codes described an "implanted" pulse generator in their descriptor. This means that these codes can be reported only for permanent implanted device. In regards to billing once or twice. It would be once and you would want to confirm if this was for a simple spinal cord stimulator (95971) or complex (95972)
    __________________________________________________ _____________________
    Dec 10 CPT Assistant


    Other than for external pulse generators, evaluation, testing, programming, or reprogramming of neurostimulator systems are not inclusive components of simple or complex pulse generator/transmitter insertion or removal with reinsertion (codes 61885, 63650-63655, and 63685). Reporting is based on what the system is capable of affecting and not on what parameters are being utilized for programming at any given programming session. Intraoperative initial or subsequent electronic analysis, and programming or reprogramming of an implanted simple brain, spinal cord, or peripheral (except cranial nerve) neurostimulator pulse generator system is represented by the stimulation programming code 95971, Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); simple spinal cord, or peripheral (ie, peripheral nerve, autonomic nerve, neuromuscular) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming.

  3. #3

Similar Threads

  1. 95971/95972 To Bill Or Not To Bill???
    By AndieL in forum Anesthesia
    Replies: 2
    Last Post: 10-28-2017, 06:22 PM
  2. 64590 or 65481 & 95971
    By MELJNBBRB in forum Urology
    Replies: 1
    Last Post: 06-26-2015, 07:44 AM
  3. 95970 vs 95971
    By barbara45 in forum Anesthesia
    Replies: 1
    Last Post: 12-18-2010, 03:11 PM
  4. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-21-2009, 11:33 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.