How To Use CPT Code 95924

CPT 95924 describes the procedure for testing the combined parasympathetic and sympathetic adrenergic function of the autonomic nervous system. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 95924?

CPT 95924 can be used to test the autonomic nervous system’s parasympathetic and sympathetic functions. This code is used to assess the nature and severity of autonomic disorders by evaluating blood pressure, pulse rate, sweating, and other bodily functions controlled by the autonomic nervous system.

2. Official Description

The official description of CPT code 95924 is: ‘Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt.’

3. Procedure

1. The provider performs a combined test of the parasympathetic and sympathetic functions of the autonomic nervous system.
2. The patient undergoes a passive head-up tilt for at least 5 minutes to evaluate the response of beat-to-beat blood pressure and R-R interval changes.
3. The provider may also perform a Valsalva maneuver, where the patient exhales forcefully with a closed airway, to assess changes in blood pressure.
4. In parasympathetic testing, the provider monitors the patient’s heart rate using ECG during maneuvers that modify blood pressure, such as deep breathing and the Valsalva test.
5. The provider analyzes the test findings to identify any variations that may indicate autonomic nervous system dysfunction.

4. Qualifying circumstances

CPT 95924 is used to evaluate patients who exhibit symptoms suggesting autonomic dysfunction, such as orthostatic hypotension, heat intolerance, nausea, constipation, urinary retention, or incontinence. The test assesses the autonomic nervous system’s parasympathetic and sympathetic functions and helps identify autonomic disorders.

5. When to use CPT code 95924

CPT code 95924 should be used when the provider needs to test the combined parasympathetic and sympathetic adrenergic function of the autonomic nervous system. It is appropriate when evaluating patients with symptoms suggestive of autonomic dysfunction. This code should not be reported in conjunction with CPT codes 95921 or 95922.

6. Documentation requirements

To support a claim for CPT 95924, the provider must document the following information:

• Patient’s symptoms suggestive of autonomic dysfunction
• Details of the testing procedure, including the use of passive tilt and any additional maneuvers performed
• Start and end time of the testing
• Test findings, including any variations indicating autonomic nervous system dysfunction
• Signature of the provider performing the test

7. Billing guidelines

When billing for CPT 95924, ensure that the provider performs the combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt. Do not report CPT 95924 in conjunction with CPT codes 95921 or 95922. If reporting only the professional component, append modifier 26 to the code. If reporting only the technical component, append modifier TC to the code, unless the hospital provided the technical component.

8. Historical information

CPT 95924 was added to the Current Procedural Terminology system on January 1, 2013. There have been no updates to the code since its addition.

9. Examples

1. A patient presents with symptoms of orthostatic hypotension, and the provider performs CPT 95924 to evaluate the autonomic nervous system’s functions.
2. A patient complains of heat intolerance, and the provider conducts CPT 95924 to assess the autonomic nervous system’s parasympathetic and sympathetic functions.
3. A patient experiences constipation and urinary retention, prompting the provider to perform CPT 95924 to evaluate the autonomic nervous system’s functions.
4. A patient exhibits symptoms of autonomic dysfunction, including nausea and incontinence, leading the provider to conduct CPT 95924 to assess the autonomic nervous system’s parasympathetic and sympathetic functions.
5. A patient presents with symptoms suggestive of autonomic dysfunction, and the provider performs CPT 95924 to evaluate the autonomic nervous system’s functions.
6. A patient complains of orthostatic hypotension and heat intolerance, prompting the provider to conduct CPT 95924 to assess the autonomic nervous system’s parasympathetic and sympathetic functions.
7. A patient experiences constipation and urinary retention, leading the provider to perform CPT 95924 to evaluate the autonomic nervous system’s functions.
8. A patient exhibits symptoms of autonomic dysfunction, including nausea and incontinence, and the provider conducts CPT 95924 to assess the autonomic nervous system’s parasympathetic and sympathetic functions.
9. A patient presents with symptoms suggestive of autonomic dysfunction, and the provider performs CPT 95924 to evaluate the autonomic nervous system’s functions.
10. A patient complains of orthostatic hypotension and heat intolerance, prompting the provider to conduct CPT 95924 to assess the autonomic nervous system’s parasympathetic and sympathetic functions.