How To Use CPT Code 95980

CPT 95980 describes the electronic analysis and programming of a gastric neurostimulator pulse generator system during surgery. 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 95980?

CPT 95980 can be used to describe the electronic analysis and programming of a gastric neurostimulator pulse generator system during surgery. This code is used when the provider performs intraoperative programming and checks the functioning of the neurostimulator. The analysis includes assessing functions such as rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance, and patient measurements.

2. Official Description

The official description of CPT code 95980 is: ‘Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient measurements) gastric neurostimulator pulse generator/transmitter; intraoperative, with programming.’

3. Procedure

  1. The provider performs electronic analysis of the gastric neurostimulator pulse generator system during surgery.
  2. The provider checks functions such as rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance, and patient measurements.
  3. Intraoperative programming is performed to ensure correct functioning of the neurostimulator.

4. Qualifying circumstances

CPT 95980 is used for patients with chronic nausea and vomiting that does not respond to medication therapy, typically due to gastroparesis of diabetic or idiopathic etiology. The neurostimulator pulse generator system is implanted to deliver electrical impulses to nerves in the stomach and help control the symptoms associated with gastroparesis. The analysis and programming are performed during surgery to ensure the correct functioning of the neurostimulator.

5. When to use CPT code 95980

CPT code 95980 should be used when the provider performs electronic analysis and programming of a gastric neurostimulator pulse generator system during surgery. It is important to note that this code is specifically for intraoperative analysis and programming, and should not be used for analysis or programming performed outside of the surgical setting.

6. Documentation requirements

To support a claim for CPT 95980, the provider must document the following information:

  • Patient’s diagnosis and the need for analysis and programming of the gastric neurostimulator pulse generator system
  • Specific functions assessed during the analysis, such as rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance, and patient measurements
  • Date and duration of the intraoperative analysis and programming
  • Any adjustments or changes made to the programming
  • Signature of the provider performing the analysis and programming

7. Billing guidelines

When billing for CPT 95980, ensure that the analysis and programming are performed during surgery and that the provider checks the functions of the gastric neurostimulator pulse generator system. It is important to review the documentation requirements and ensure that all necessary information is included in the claim. Additionally, be aware of any specific billing guidelines or modifiers that may be required by the payer.

8. Historical information

CPT 95980 was added to the Current Procedural Terminology system on January 1, 2008. There have been no updates to the code since its addition.

9. Examples

  1. A provider performs electronic analysis and programming of a gastric neurostimulator pulse generator system during surgery for a patient with gastroparesis.
  2. During a surgical procedure, the provider checks the functions of a gastric neurostimulator pulse generator system and performs intraoperative programming for a patient with chronic nausea and vomiting.
  3. For a patient with gastroparesis, the provider ensures the correct functioning of the gastric neurostimulator pulse generator system through electronic analysis and programming during surgery.
  4. During a surgical intervention, the provider assesses the rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance, and patient measurements of a gastric neurostimulator pulse generator system.
  5. Intraoperatively, the provider performs electronic analysis and programming of a gastric neurostimulator pulse generator system to ensure its proper functioning for a patient with chronic nausea and vomiting.
  6. A patient with gastroparesis undergoes surgery, during which the provider analyzes and programs the gastric neurostimulator pulse generator system to optimize its performance.
  7. During a surgical procedure, the provider conducts electronic analysis and programming of a gastric neurostimulator pulse generator system to ensure its effectiveness in managing chronic nausea and vomiting.
  8. Intraoperatively, the provider assesses the functions of a gastric neurostimulator pulse generator system and performs programming to tailor its settings for a patient with gastroparesis.
  9. For a patient with chronic nausea and vomiting, the provider performs electronic analysis and programming of a gastric neurostimulator pulse generator system during surgery to optimize its therapeutic effects.
  10. During a surgical intervention, the provider evaluates the functioning of a gastric neurostimulator pulse generator system and adjusts its programming to address the symptoms of gastroparesis.

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