How To Use CPT Code 95836

CPT 95836 describes the analysis and interpretation of an electrocorticogram (ECoG) recording from a previously placed brain neurostimulator pulse generator or transmitter system. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 95836?

CPT 95836 can be used to describe the analysis and interpretation of an electrocorticogram (ECoG) recording from a brain neurostimulator pulse generator or transmitter system that has been previously implanted. This code is used when a healthcare provider analyzes the results of the ECoG and prepares a written report based on their interpretation.

2. Official Description

The official description of CPT code 95836 is: ‘Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days.’

3. Procedure

  1. The healthcare provider analyzes the electrocorticogram (ECoG) recording from a previously implanted brain neurostimulator pulse generator or transmitter system.
  2. They compare the cortical potentials recorded to previous recordings from before and after the implantation of the neurostimulator system.
  3. The provider interprets the post-stimulation recordings and assesses brain activity, such as flat, burst suppression, burst suppression/delta, delta, delta/theta, and theta/alpha waveforms.
  4. They examine the relationship between the recorded data and any clinical events or electrical stimulation from the neurostimulator pulse generator.
  5. Based on their analysis and interpretation, the provider prepares a written report summarizing their findings.

4. Qualifying circumstances

CPT 95836 is used when a healthcare provider analyzes an electrocorticogram (ECoG) recording from a previously implanted brain neurostimulator pulse generator or transmitter system. This code is applicable to patients with neurological disorders such as epilepsy or Parkinson’s disease who have undergone neurostimulator implantation. The analysis and interpretation of the ECoG must be performed within a 30-day period.

5. When to use CPT code 95836

CPT code 95836 should be used when a healthcare provider needs to analyze and interpret an electrocorticogram (ECoG) recording from a previously implanted brain neurostimulator pulse generator or transmitter system. This code is appropriate when the analysis and interpretation are performed within a 30-day period.

6. Documentation requirements

To support a claim for CPT 95836, the healthcare provider must document the following information:

  • Details of the electrocorticogram (ECoG) recording and the previously implanted brain neurostimulator pulse generator or transmitter system
  • Comparison of cortical potentials to previous recordings
  • Interpretation of post-stimulation recordings
  • Assessment of brain activity and waveforms
  • Relationship between recorded data and clinical events or electrical stimulation
  • Written report summarizing the provider’s findings

7. Billing guidelines

When billing for CPT 95836, ensure that the analysis and interpretation are performed on an electrocorticogram (ECoG) recording from a previously implanted brain neurostimulator pulse generator or transmitter system. This code should only be reported once within a 30-day period. Do not report CPT 95836 in conjunction with CPT code 95957. If programming of the neurostimulator pulse generator/transmitter is performed in conjunction with the ECoG analysis, use CPT codes 95983 or 95984.

8. Historical information

CPT 95836 was added to the Current Procedural Terminology system on January 1, 2019. There have been no updates to the code since its addition.

9. Examples

  1. A neurologist analyzing an electrocorticogram (ECoG) recording from a previously implanted brain neurostimulator pulse generator to assess the effectiveness of the neurostimulation therapy in a patient with epilepsy.
  2. A neurosurgeon interpreting an ECoG recording from a brain neurostimulator pulse generator to evaluate the impact of the neurostimulation therapy on a patient with Parkinson’s disease.
  3. A neurophysiologist analyzing an ECoG recording from a previously implanted brain neurostimulator transmitter system to assess the cortical potentials and waveforms in a patient with epilepsy.
  4. A neurologist interpreting an ECoG recording from a brain neurostimulator pulse generator to evaluate the changes in brain activity before and after the neurostimulation therapy in a patient with Parkinson’s disease.
  5. A neurosurgeon analyzing an ECoG recording from a previously implanted brain neurostimulator transmitter system to assess the effectiveness of the neurostimulation therapy in a patient with epilepsy.
  6. A neurophysiologist interpreting an ECoG recording from a brain neurostimulator pulse generator to evaluate the impact of the neurostimulation therapy on a patient with Parkinson’s disease.
  7. A neurologist analyzing an ECoG recording from a previously implanted brain neurostimulator transmitter system to assess the cortical potentials and waveforms in a patient with epilepsy.
  8. A neurosurgeon interpreting an ECoG recording from a brain neurostimulator pulse generator to evaluate the changes in brain activity before and after the neurostimulation therapy in a patient with Parkinson’s disease.
  9. A neurophysiologist analyzing an ECoG recording from a previously implanted brain neurostimulator transmitter system to assess the effectiveness of the neurostimulation therapy in a patient with epilepsy.
  10. A neurologist interpreting an ECoG recording from a brain neurostimulator pulse generator to evaluate the impact of the neurostimulation therapy on a patient with Parkinson’s disease.

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