How To Use CPT Code 0589T

CPT 0589T describes the electronic analysis and simple programming of an implanted integrated neurostimulation system for the posterior tibial nerve. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0589T?

CPT 0589T can be used to describe the electronic analysis and simple programming of an implanted integrated neurostimulation system for the posterior tibial nerve. This code is used when a physician or other qualified healthcare professional performs testing and makes programming changes to ensure the proper functioning of the neurostimulator device.

2. Official Description

The official description of CPT code 0589T is: ‘Electronic analysis with simple programming of implanted integrated neurostimulation system (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/off cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters, when performed by physician or other qualified health care professional, posterior tibial nerve, 1-3 parameters.’

3. Procedure

1. The physician or qualified healthcare professional checks the programming of the implanted integrated neurostimulation system for the posterior tibial nerve.
2. They perform electronic analysis of 1 to 3 parameters of the system, such as contact group(s), amplitude, pulse width, frequency, on/off cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters.
3. Based on the analysis, the provider makes simple programming changes to the neurostimulator device to ensure its proper functioning.

4. Qualifying circumstances

CPT 0589T is used for patients who have a previously implanted integrated neurostimulator electrode array and receiver for the posterior tibial nerve. The procedure is performed by a physician or other qualified healthcare professional. It is important to note that CPT 0589T should not be reported in conjunction with certain other codes, as specified in the notes.

5. When to use CPT code 0589T

CPT code 0589T should be used when a physician or other qualified healthcare professional performs electronic analysis and simple programming of an implanted integrated neurostimulation system for the posterior tibial nerve. It is important to review the documentation and code descriptors to ensure accurate reporting and avoid reporting codes that should not be reported in conjunction with CPT 0589T.

6. Documentation requirements

To support a claim for CPT 0589T, the healthcare professional must document the following information:

• Confirmation of a previously implanted integrated neurostimulator electrode array and receiver for the posterior tibial nerve
• Specific parameters tested during the electronic analysis
• Details of any programming changes made to the neurostimulator device

7. Billing guidelines

When billing for CPT 0589T, ensure that the procedure is performed by a physician or other qualified healthcare professional. It is important to follow the guidelines and avoid reporting CPT 0589T in conjunction with certain other codes, as specified in the notes. Review the documentation and code descriptors to accurately report the procedure and consider any additional tips provided by the payer or coding guidelines.

8. Historical information

CPT 0589T was added to the Current Procedural Terminology system on January 1, 2020. There have been no updates to the code since its addition.

9. Examples

1. A physician performing electronic analysis and simple programming of an implanted integrated neurostimulation system for the posterior tibial nerve, adjusting the amplitude and frequency parameters for a patient with chronic pain.
2. A qualified healthcare professional testing the contact group(s) and pulse width of an implanted integrated neurostimulation system for the posterior tibial nerve, making programming changes to improve the responsiveness for a patient with acute pain.
3. A physician analyzing the on/off cycling and dose lockout parameters of an implanted integrated neurostimulation system for the posterior tibial nerve, adjusting the patient-selectable parameters for a patient with neuropathic pain.
4. A qualified healthcare professional performing electronic analysis and simple programming of an implanted integrated neurostimulation system for the posterior tibial nerve, making programming changes to the burst and detection algorithms for a patient with refractory pain.
5. A physician testing the closed-loop parameters and passive parameters of an implanted integrated neurostimulation system for the posterior tibial nerve, making programming changes to optimize the pain management for a patient with complex regional pain syndrome.
6. A qualified healthcare professional analyzing the amplitude and frequency parameters of an implanted integrated neurostimulation system for the posterior tibial nerve, making programming changes to enhance the pain relief for a patient with diabetic neuropathy.
7. A physician performing electronic analysis and simple programming of an implanted integrated neurostimulation system for the posterior tibial nerve, adjusting the contact group(s) and pulse width parameters for a patient with post-operative pain.
8. A qualified healthcare professional testing the on/off cycling and burst parameters of an implanted integrated neurostimulation system for the posterior tibial nerve, making programming changes to improve the dose lockout and patient-selectable parameters for a patient with phantom limb pain.
9. A physician analyzing the responsive neurostimulation and detection algorithms of an implanted integrated neurostimulation system for the posterior tibial nerve, adjusting the closed-loop parameters for a patient with neuropathic pain.
10. A qualified healthcare professional performing electronic analysis and simple programming of an implanted integrated neurostimulation system for the posterior tibial nerve, making programming changes to the passive parameters for a patient with chronic back pain.