Results 1 to 4 of 4

Ptns - How are the treatments

  1. Default Ptns - How are the treatments
    Medical Coding Books
    How are the treatments using PTNS coded in 2011. My physician is using 95971 which I am not sure he should be coding. What exactly is this code describing and is it appropriate to use? What documentation supports it's use?

  2. #2
    Prior to 2011 AUA and Medicare recommended using an unlisted code 64999.
    New for 2011 is the CPT code 64566 for PTNS.
    For Northern California there are Medicare coverage guidelines and the LCD # is L31287.
    Hope this helps,

  3. Default
    Bonnie, can you direct me where to find this doc L31287, I tried a search by LCD and I cannot pull it up. I too bill for N.Cal and I'm not sure if I can continue to include 95971 w/ the new 64566. Thank you!

  4. Default
    CPT® Code64566 describes percutaneous tibial nerve stimulation (PTNS) delivered via the Urgent®PC Neuromodulation System. It includes the office time, equipment, procedure, and programming. No additional codes should be used to describe the procedure.

    95971 is programming (interoperative or subsequent) for a neurostimulator. The 2011 CPT Code book states "Do not report 64566 in conjunction with 64555, 95970-95972."

    As for the LCD for northern California, you can search by the LCD number L31287 at the Medicare Coverage Database. Just enter it in the "Document ID" search box.

    Jackie Pierson
    Reimbursement Specialist
    Uroplasty, Inc.

Similar Threads

  1. ***ptns***
    By bill2doc in forum Urology
    Replies: 0
    Last Post: 12-20-2012, 03:53 PM
  2. PTNS - Treatment Schedule
    By bill2doc in forum Urology
    Replies: 1
    Last Post: 01-08-2012, 10:56 AM
  3. Nurse Practitioner billing for PTNS
    By peabodym in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-05-2010, 05:47 PM
  4. Ptns - Our nurse practitioners perform
    By peabodym in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-03-2010, 07:11 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.