How To Use CPT Code 95977

CPT 95977 describes the analysis and programming of a cranial nerve neurostimulator pulse generator/transmitter system by a physician or other qualified healthcare professional. 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 95977?

CPT 95977 can be used to describe the electronic analysis and complex programming of a cranial nerve neurostimulator pulse generator/transmitter system. This code is used when a physician or other qualified healthcare professional analyzes the function of the system and makes significant programming adjustments to ensure its correct functioning.

2. Official Description

The official description of CPT code 95977 is: ‘Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with complex cranial nerve neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional.’

3. Procedure

1. The physician or qualified healthcare professional analyzes the function of the cranial nerve neurostimulator pulse generator/transmitter system.
2. They test various features of the system, including contact group(s), interleaving, amplitude, pulse width, frequency, on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters.
3. Based on the analysis, the provider makes complex programming adjustments to the neurostimulator device to ensure its correct functioning.

4. Qualifying circumstances

CPT 95977 is used when a cranial nerve neurostimulator pulse generator/transmitter system is implanted in a patient and requires analysis and complex programming by a physician or other qualified healthcare professional. This procedure is typically performed to treat conditions such as seizures, depression, obesity, or obstructive sleep apnea. The provider must have the necessary qualifications to perform the analysis and programming.

5. When to use CPT code 95977

CPT code 95977 should be used when a physician or qualified healthcare professional performs electronic analysis and complex programming of a cranial nerve neurostimulator pulse generator/transmitter system. This code is appropriate when significant adjustments are made to the programming to ensure the correct functioning of the device.

6. Documentation requirements

To support a claim for CPT 95977, the physician or qualified healthcare professional must document the following information:

• Details of the analysis performed on the neurostimulator pulse generator/transmitter system
• Specific programming adjustments made to the device
• Date and duration of the procedure
• Signature of the physician or qualified healthcare professional performing the analysis and programming

7. Billing guidelines

When billing for CPT 95977, ensure that the analysis and complex programming are performed by a physician or qualified healthcare professional. Follow the appropriate coding guidelines and ensure that the documentation supports the services provided. It is important to note that CPT code 95977 should not be reported with other codes for similar services.

8. Historical information

CPT 95977 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 physician performing electronic analysis and complex programming of a cranial nerve neurostimulator pulse generator/transmitter system to treat a patient with seizures.
2. A qualified healthcare professional making significant programming adjustments to a cranial nerve neurostimulator pulse generator/transmitter system to treat a patient with depression.
3. A physician analyzing the function of a cranial nerve neurostimulator pulse generator/transmitter system and making complex programming changes to treat a patient with obesity.
4. A qualified healthcare professional performing electronic analysis and complex programming of a cranial nerve neurostimulator pulse generator/transmitter system for a patient with obstructive sleep apnea.
5. A physician making programming adjustments to a cranial nerve neurostimulator pulse generator/transmitter system to treat a patient with depression.
6. A qualified healthcare professional analyzing the function of a cranial nerve neurostimulator pulse generator/transmitter system and making significant programming changes to treat a patient with seizures.
7. A physician performing electronic analysis and complex programming of a cranial nerve neurostimulator pulse generator/transmitter system for a patient with obesity.
8. A qualified healthcare professional making significant programming adjustments to a cranial nerve neurostimulator pulse generator/transmitter system for a patient with obstructive sleep apnea.
9. A physician analyzing the function of a cranial nerve neurostimulator pulse generator/transmitter system and making complex programming changes to treat a patient with depression.
10. A qualified healthcare professional performing electronic analysis and complex programming of a cranial nerve neurostimulator pulse generator/transmitter system for a patient with seizures.