How To Use CPT Code 0434T

CPT 0434T describes the evaluation of the components of an implanted neurostimulator pulse generator system for central sleep apnea. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0434T?

CPT 0434T can be used to describe the evaluation of the components of an implanted neurostimulator pulse generator system for central sleep apnea. This code is used when the provider connects and disconnects the device components, records the results, and analyzes and reviews the findings and programmed settings. The code can be reported for each patient encounter to interrogate the system.

2. Official Description

The official description of CPT code 0434T is: ‘Interrogation device evaluation of implanted neurostimulator pulse generator system for central sleep apnea.’

3. Procedure

1. The provider retrieves the stored and measured information about the components of the implanted neurostimulator pulse generator system for central sleep apnea.
2. He connects and disconnects the system and records the results.
3. The provider analyzes and reviews the data retrieved to determine the optimal programming of the device and evaluate certain aspects of its function.
4. The findings and programmed settings are documented in a report.

4. Qualifying circumstances

CPT 0434T is used when the provider performs a device interrogation of an implanted neurostimulator pulse generator system for central sleep apnea. This system consists of a transvenously placed stimulation lead, a sensing lead, and an implantable pulse generator. The code should only be reported for the interrogation of this specific system.

5. When to use CPT code 0434T

CPT code 0434T should be used when the provider performs a device interrogation of an implanted neurostimulator pulse generator system for central sleep apnea. It should not be used for programming of the pulse generator that is not associated with insertion or removal procedures. For programming during a single session, use CPT code 0435T. For programming during a sleep study, use CPT code 0436T.

6. Documentation requirements

To support a claim for CPT code 0434T, the provider must document the following information:

• Details of the device interrogation, including connection, recording, and disconnection of the implanted neurostimulator pulse generator system
• Analysis and review of the retrieved data
• Findings and programmed settings
• A report documenting the results of the interrogation

7. Billing guidelines

When billing for CPT code 0434T, ensure that the provider performs a device interrogation of an implanted neurostimulator pulse generator system for central sleep apnea. It should not be reported with other codes for programming of the pulse generator. Modifier 26 should be used when reporting this code. Consider the location of the testing when coding these procedures.

8. Historical information

CPT code 0434T was added to the Current Procedural Terminology system on January 1, 2016. There have been no updates to the code since its addition.

9. Examples

1. A provider connects and disconnects the components of an implanted neurostimulator pulse generator system for central sleep apnea, records the results, and analyzes the findings during a patient encounter.
2. During an evaluation, the provider retrieves the stored information about the components of an implanted neurostimulator pulse generator system for central sleep apnea, reviews the data, and documents the findings and programmed settings.
3. The provider performs a device interrogation of an implanted neurostimulator pulse generator system for central sleep apnea, connecting and disconnecting the system, recording the results, and analyzing the data to optimize the programming of the device.
4. During a patient encounter, the provider evaluates the components of an implanted neurostimulator pulse generator system for central sleep apnea, reviews the measured information, and documents the findings and programmed settings.
5. A provider connects and disconnects the components of an implanted neurostimulator pulse generator system for central sleep apnea, records the results, and analyzes the findings to ensure the optimal programming of the device.
6. During an evaluation, the provider retrieves the stored information about the components of an implanted neurostimulator pulse generator system for central sleep apnea, reviews the data, and documents the findings and programmed settings.
7. The provider performs a device interrogation of an implanted neurostimulator pulse generator system for central sleep apnea, connecting and disconnecting the system, recording the results, and analyzing the data to optimize the programming of the device.
8. During a patient encounter, the provider evaluates the components of an implanted neurostimulator pulse generator system for central sleep apnea, reviews the measured information, and documents the findings and programmed settings.
9. A provider connects and disconnects the components of an implanted neurostimulator pulse generator system for central sleep apnea, records the results, and analyzes the findings to ensure the optimal programming of the device.
10. During an evaluation, the provider retrieves the stored information about the components of an implanted neurostimulator pulse generator system for central sleep apnea, reviews the data, and documents the findings and programmed settings.