How To Use CPT Code 95873

CPT 95873 describes the use of electrical stimulation for guidance in conjunction with chemodenervation to control various disorders. 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 95873?

CPT 95873 can be used to describe the use of electrical stimulation for guidance in conjunction with chemodenervation to control various disorders. This code is used when the provider attaches electrodes to the skin to cause specific nerves to contract muscles. The provider then identifies the muscles to inject with a pharmacologic substance, such as botulism toxin, to paralyze the muscle. This procedure is commonly used to treat spasm disorders, cerebral palsy, permanent muscle disorders, and other disorders involving muscle movement.

2. Official Description

The official description of CPT code 95873 is: ‘Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure).’ It is important to note that this code should not be reported in conjunction with codes 64451, 64617, 64625, 95860-95870, or 95874.

3. Procedure

1. In this procedure, the provider attaches electrodes, or pads, to the skin to cause specific nerves to contract muscles.
2. The provider then identifies the muscles that need to be injected with a pharmacologic substance, such as botulism toxin, to paralyze the muscle.
3. This procedure is typically used to treat spasm disorders, cerebral palsy, permanent muscle disorders, and other disorders involving muscle movement.

4. Qualifying circumstances

CPT 95873 is used for patients who require electrical stimulation for guidance in conjunction with chemodenervation to control their disorders. This procedure is typically performed on patients with spasm disorders, cerebral palsy, permanent muscle disorders, and other disorders involving muscle movement. It is important to note that this code should not be reported in conjunction with codes 64451, 64617, 64625, 95860-95870, or 95874.

5. When to use CPT code 95873

CPT code 95873 should be used when the provider is using electrical stimulation for guidance in conjunction with chemodenervation to control various disorders. It is important to note that this code should not be reported in conjunction with codes 64451, 64617, 64625, 95860-95870, or 95874.

6. Documentation requirements

To support a claim for CPT code 95873, the provider must document the following information:

• Patient’s diagnosis and the need for electrical stimulation for guidance in conjunction with chemodenervation
• Details of the procedure, including the use of electrodes and the specific muscles targeted for injection
• Date and duration of the procedure
• Any complications or adverse reactions
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 95873, ensure that the procedure is performed in conjunction with the primary procedure. This code should not be reported in conjunction with codes 64451, 64617, 64625, 95860-95870, or 95874. If reporting only the physician’s interpretation for the radiology service, append modifier 26. If reporting only the technical component for the radiology service, append modifier TC. Do not append a professional or technical modifier to the radiology code when reporting a global service in which one provider renders both the professional and technical components.

8. Historical information

CPT code 95873 was added to the Current Procedural Terminology system on January 1, 2006. There have been no updates to the code since its addition.

9. Examples

1. A provider using electrical stimulation for guidance in conjunction with chemodenervation to treat a patient with spasm disorders.
2. A provider using electrical stimulation for guidance in conjunction with chemodenervation to treat a patient with cerebral palsy.
3. A provider using electrical stimulation for guidance in conjunction with chemodenervation to treat a patient with a permanent muscle disorder.
4. A provider using electrical stimulation for guidance in conjunction with chemodenervation to treat a patient with a disorder involving muscle movement.
5. A provider using electrical stimulation for guidance in conjunction with chemodenervation to treat a patient with a specific disorder that requires this procedure.
6. A provider using electrical stimulation for guidance in conjunction with chemodenervation to treat a patient with a different disorder that requires this procedure.
7. A provider using electrical stimulation for guidance in conjunction with chemodenervation to treat a patient with another disorder that requires this procedure.
8. A provider using electrical stimulation for guidance in conjunction with chemodenervation to treat a patient with yet another disorder that requires this procedure.
9. A provider using electrical stimulation for guidance in conjunction with chemodenervation to treat a patient with a specific disorder that requires this procedure.
10. A provider using electrical stimulation for guidance in conjunction with chemodenervation to treat a patient with a different disorder that requires this procedure.