How To Use CPT Code 4325F

CPT 4325F describes the discussion of medical and surgical treatment options with a patient or caregiver for Parkinson’s disease. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 4325F?

CPT 4325F can be used to describe the discussion of medical and surgical treatment options with a patient or caregiver for Parkinson’s disease. This code is used when the healthcare provider reviews and discusses the available treatment options, including medications and surgical interventions, with the patient or caregiver.

2. Official Description

The official description of CPT code 4325F is: ‘Medical and surgical treatment options reviewed with patient (or caregiver) (Prkns)’

3. Procedure

1. The healthcare provider assesses the patient’s condition and determines the need for a discussion on treatment options.
2. The provider reviews and discusses the available medical and surgical treatment options for Parkinson’s disease with the patient or caregiver.
3. The provider may explain the benefits, risks, and potential outcomes of each treatment option.
4. The discussion may also involve monitoring the patient’s response to current medications and considering surgical interventions such as subthalamic nucleus (STN) or globus pallidus interna (GPI) procedures.
5. The provider documents the details of the discussion, including the date of the encounter and the treatment options discussed.

4. Qualifying circumstances

Patients eligible for CPT 4325F services are those diagnosed with Parkinson’s disease. Parkinson’s disease is a progressive nervous system disorder characterized by tremors, stiffness, disturbed posture, and sleep abnormalities. The discussion of treatment options is typically conducted with the patient or their caregiver to explore potential medical and surgical interventions to manage the disease.

5. When to use CPT code 4325F

CPT code 4325F should be used when the healthcare provider engages in a discussion with the patient or caregiver regarding medical and surgical treatment options for Parkinson’s disease. This code is appropriate when the provider reviews and discusses the available options, including medications and surgical interventions, to reduce or overcome the disorder.

6. Documentation requirements

To support a claim for CPT 4325F, the healthcare provider must document the following information:

• Date of the encounter
• Details of the treatment options discussed, including medications and surgical interventions
• Results of the discussion, including the patient’s understanding and agreement on the treatment plan
• Signature of the healthcare provider conducting the discussion

7. Billing guidelines

When billing for CPT 4325F, ensure that the discussion of treatment options is conducted with the patient or caregiver. The provider should document the details of the discussion and include the date of the encounter. There are no specific guidelines regarding reporting CPT code 4325F with other codes.

8. Historical information

CPT 4325F was added to the Current Procedural Terminology system on January 1, 2011. There have been no updates to the code since its addition.

9. Examples

1. A neurologist discussing the available medical and surgical treatment options for Parkinson’s disease with a patient and their caregiver.
2. A movement disorder specialist reviewing the benefits and risks of different medications and surgical interventions for a patient with Parkinson’s disease.
3. A nurse practitioner explaining the potential outcomes of subthalamic nucleus (STN) or globus pallidus interna (GPI) procedures to a patient and their family.
4. A neurosurgeon discussing the importance of medication adherence and the possibility of surgical interventions for a patient with advanced Parkinson’s disease.
5. A primary care physician reviewing the patient’s response to current medications and considering alternative treatment options for Parkinson’s disease.
6. A geriatrician discussing the potential benefits of physical therapy and exercise in managing the symptoms of Parkinson’s disease.
7. A neurologist explaining the role of deep brain stimulation (DBS) surgery in improving motor symptoms for a patient with Parkinson’s disease.
8. A neurosurgeon discussing the risks and benefits of different surgical approaches for Parkinson’s disease, such as bilateral STN or GPI procedures.
9. A movement disorder specialist reviewing the patient’s medical history and discussing personalized treatment options for Parkinson’s disease.
10. A nurse practitioner explaining the importance of regular follow-up appointments and medication adjustments in managing Parkinson’s disease.