How To Use CPT Code 95927

CPT 95927 describes the performance of a short-latency somatosensory evoked potential study, which involves stimulating peripheral nerves or skin sites in the trunk or head and recording the resulting evoked potential from the central nervous system. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 95927?

CPT 95927 is used to describe a procedure in which a healthcare provider performs a short-latency somatosensory evoked potential study. This study involves stimulating peripheral nerves or skin sites in the trunk or head and recording the resulting evoked potential from the central nervous system. The purpose of this study is to evaluate the somatosensory function from the site of stimulation to the cerebral cortex, helping to identify any lesions or abnormalities in the peripheral nerves, spinal cord, or higher brain centers.

2. Official Description

The official description of CPT code 95927 is: ‘Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head.’ This code can be modified with modifier 52 to indicate a unilateral study.

3. Procedure

  1. The healthcare provider applies brief electrical stimuli to the peripheral nerves or skin sites in the trunk or head.
  2. The resulting evoked potential is recorded from electrodes placed over the spine and scalp.
  3. The recorded evoked potentials are processed by a computer and converted into waveforms.
  4. The provider analyzes these waveforms to determine the nerve being stimulated, recording sites, peak latencies, interpeak interval, and amplitude of significant components.
  5. This study helps evaluate the somatosensory function from the site of stimulation to the cerebral cortex, aiding in the diagnosis of peripheral nerve lesions, spinal cord abnormalities, or brain center issues.

4. Qualifying circumstances

CPT 95927 is performed on patients who require a short-latency somatosensory evoked potential study to evaluate their somatosensory function. This study is typically ordered when there is a suspicion of peripheral nerve lesions, spinal cord abnormalities, or brain center issues. The procedure can be performed by a healthcare provider who is trained and qualified to administer and interpret the study results.

5. When to use CPT code 95927

CPT code 95927 should be used when a healthcare provider performs a short-latency somatosensory evoked potential study by stimulating peripheral nerves or skin sites in the trunk or head and recording the resulting evoked potential from the central nervous system. This code is appropriate when evaluating the somatosensory function and identifying any abnormalities or lesions in the peripheral nerves, spinal cord, or higher brain centers.

6. Documentation requirements

To support a claim for CPT 95927, the healthcare provider must document the following information:

  • Reason for performing the short-latency somatosensory evoked potential study
  • Specific peripheral nerves or skin sites stimulated
  • Date of the procedure
  • Recorded evoked potentials and their analysis
  • Any abnormalities or lesions identified
  • Signature of the healthcare provider performing the study

7. Billing guidelines

When billing for CPT 95927, ensure that the procedure is performed by a qualified healthcare provider and that the stimulation and recording are done in the trunk or head. Modifier 52 can be used to indicate a unilateral study. It is important to follow the specific guidelines provided by the payer regarding the use of modifiers and any additional documentation requirements.

8. Historical information

CPT 95927 was added to the Current Procedural Terminology system on January 1, 1996. There have been no updates or changes to the code since its addition.

9. Examples

  1. A neurologist performs a short-latency somatosensory evoked potential study on a patient with suspected peripheral nerve damage in the trunk.
  2. A physical therapist conducts a short-latency somatosensory evoked potential study on a patient with a spinal cord injury to assess the extent of the damage.
  3. An orthopedic surgeon orders a short-latency somatosensory evoked potential study to evaluate a patient’s brain center function following a head injury.
  4. A neurosurgeon performs a short-latency somatosensory evoked potential study on a patient with suspected brain center abnormalities.
  5. A rehabilitation specialist conducts a short-latency somatosensory evoked potential study on a patient with chronic pain to assess the involvement of the peripheral nerves.
  6. A neurophysiologist performs a short-latency somatosensory evoked potential study on a patient with suspected nerve compression in the head.
  7. An anesthesiologist orders a short-latency somatosensory evoked potential study to assess the somatosensory function of a patient before a surgical procedure.
  8. A neurology resident conducts a short-latency somatosensory evoked potential study on a patient with suspected brain center lesions.
  9. A physical therapist performs a short-latency somatosensory evoked potential study on a patient with suspected peripheral nerve damage in the trunk.
  10. A neurosurgeon orders a short-latency somatosensory evoked potential study to evaluate a patient’s brain center function following a traumatic brain injury.

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