How To Use CPT Code 0590T

CPT 0590T describes the electronic analysis and complex 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 0590T?

CPT 0590T can be used to describe the electronic analysis and complex 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 0590T is: ‘Electronic analysis with complex 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, 4 or more parameters.’

3. Procedure

1. A physician or other qualified healthcare professional performs electronic analysis of 4 or more parameters of an implanted integrated neurostimulator electrode array and receiver for the posterior tibial nerve.
2. The provider checks the system’s programming to ensure correct functioning of the posterior tibial nerve neurostimulator.
3. The provider tests the electrode array and receiver for parameters such as 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.
4. Based on the testing, the provider makes complex programming changes to the neurostimulator device.

4. Qualifying circumstances

Patients eligible to receive CPT 0590T services are those with 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 to ensure the proper functioning of the neurostimulator device. The provider must test and make programming changes to 4 or more parameters of the system.

5. When to use CPT code 0590T

CPT code 0590T should be used when a physician or other qualified healthcare professional performs electronic analysis and complex programming of an implanted integrated neurostimulation system for the posterior tibial nerve. This code is appropriate when testing and programming involve 4 or more parameters of the system. It should not be reported in conjunction with certain other codes, as indicated in the notes.

6. Documentation requirements

To support a claim for CPT 0590T, the healthcare professional must document the following information:

• Patient’s diagnosis and the need for electronic analysis and complex programming of the neurostimulation system
• Specific parameters tested and programming changes made
• Date and duration of the procedure
• Signature of the physician or other qualified healthcare professional performing the service

7. Billing guidelines

When billing for CPT 0590T, ensure that the procedure is performed by a physician or other qualified healthcare professional. The provider must perform electronic analysis and complex programming of an implanted integrated neurostimulation system for the posterior tibial nerve, involving 4 or more parameters of the system. Be aware of the codes that should not be reported in conjunction with CPT 0590T, as indicated in the notes. It is important to follow the specific guidelines provided by payers and to include any necessary modifiers.

8. Historical information

CPT 0590T 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 complex programming of an implanted integrated neurostimulation system for the posterior tibial nerve, adjusting parameters such as contact group(s), amplitude, pulse width, and frequency.
2. A qualified healthcare professional testing and making programming changes to an electrode array and receiver for the posterior tibial nerve, including parameters such as on/off cycling, burst, and dose lockout.
3. A physician analyzing and programming a neurostimulator device for the posterior tibial nerve, adjusting patient-selectable parameters, responsive neurostimulation, and detection algorithms.
4. A healthcare professional performing electronic analysis and complex programming of a neurostimulation system, making closed-loop parameter changes and adjusting passive parameters for the posterior tibial nerve.
5. A physician testing and programming an integrated neurostimulator electrode array and receiver for the posterior tibial nerve, ensuring proper functioning of the system by analyzing 4 or more parameters.
6. A qualified healthcare professional making complex programming changes to a neurostimulator device for the posterior tibial nerve, involving parameters such as amplitude, pulse width, and frequency.
7. A physician performing electronic analysis and programming of an implanted integrated neurostimulation system, adjusting contact group(s), on/off cycling, and burst parameters for the posterior tibial nerve.
8. A healthcare professional testing and making programming changes to a neurostimulator device, adjusting dose lockout, patient-selectable parameters, and responsive neurostimulation for the posterior tibial nerve.
9. A physician analyzing and programming an integrated neurostimulator electrode array and receiver, making detection algorithm changes and adjusting closed-loop parameters for the posterior tibial nerve.
10. A qualified healthcare professional performing electronic analysis and complex programming of a neurostimulation system, adjusting passive parameters and analyzing 4 or more parameters for the posterior tibial nerve.