How To Use CPT Code 64566

CPT 64566 describes the application of electrical stimulation to the posterior tibial nerve using a percutaneous needle electrode. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 64566?

CPT 64566 can be used to describe the procedure in which a provider applies electrical stimulation to the posterior tibial nerve by inserting a needle electrode through the skin. This treatment is typically performed to address overactive bladder (OAB) and its associated symptoms, such as urinary urgency, frequency, and urge incontinence.

2. Official Description

The official description of CPT code 64566 is: ‘Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming.’

3. Procedure

1. The provider prepares and anesthetizes the patient.
2. Using a needle electrode, the provider inserts it near the tibial nerve in the ankle.
3. A surface electrode is placed over the medial aspect of the calcaneus (heel bone) on the same leg.
4. The needle electrode is connected to an external pulse generator.
5. The provider activates the generator, which delivers pulses to the tibial nerve.
6. The goal of this procedure is to treat overactive bladder and its associated symptoms.

4. Qualifying circumstances

CPT 64566 is typically performed on patients with overactive bladder (OAB) who experience symptoms such as urinary urgency, frequency, and urge incontinence. The procedure should be carried out by a qualified healthcare provider who is trained in performing posterior tibial neurostimulation. It is important to note that CPT 64566 should not be reported in conjunction with CPT codes 64555, 95970, 95971, or 95972.

5. When to use CPT code 64566

CPT code 64566 should be used when a provider performs a single treatment of posterior tibial neurostimulation using a percutaneous needle electrode. This code includes the programming of the stimulation device. It is important to follow the guidelines and not report CPT 64566 with other specific codes.

6. Documentation requirements

To support a claim for CPT 64566, the provider must document the following information:

• Patient’s diagnosis of overactive bladder (OAB)
• Details of the procedure, including the insertion of the needle electrode and placement of the surface electrode
• Date of the treatment
• Start and end time of the procedure
• Any programming adjustments made to the stimulation device
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 64566, ensure that the procedure is performed by a qualified healthcare provider and that it includes the programming of the stimulation device. It is important to follow the guidelines and not report CPT 64566 with other specific codes. Take note of any additional tips provided by the payer or coding guidelines to ensure accurate billing.

8. Historical information

CPT 64566 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 patient with overactive bladder (OAB) undergoes a single treatment of posterior tibial neurostimulation using a percutaneous needle electrode.
2. A provider performs posterior tibial neurostimulation on a patient with OAB, including the programming of the stimulation device.
3. A qualified healthcare professional administers a single treatment of posterior tibial neurostimulation to a patient with OAB, addressing their symptoms of urinary urgency, frequency, and urge incontinence.
4. A provider applies electrical stimulation to the posterior tibial nerve using a percutaneous needle electrode, aiming to alleviate the symptoms of OAB in a patient.
5. A patient receives a single session of posterior tibial neurostimulation, which involves the insertion of a needle electrode near the tibial nerve to treat their overactive bladder.
6. A qualified healthcare provider performs posterior tibial neurostimulation on a patient, utilizing a percutaneous needle electrode to address their symptoms of OAB.
7. A provider delivers electrical stimulation to the posterior tibial nerve through a percutaneous needle electrode, aiming to alleviate the symptoms of OAB in a patient.