How To Use CPT Code 95981

CPT 95981 describes the subsequent electronic analysis of an implanted neurostimulator pulse generator system without reprogramming. 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 95981?

CPT 95981 can be used to describe the subsequent electronic analysis of an implanted neurostimulator pulse generator system without reprogramming. This code is used when the provider checks the programming system to ensure the correct functioning of the neurostimulator. The provider tests 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 95981 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; subsequent, without reprogramming.’

3. Procedure

  1. The provider performs subsequent electronic analysis of a previously placed gastric neurostimulator pulse generator system.
  2. The analysis includes checking functions such as rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance, and patient measurements.
  3. The provider ensures that the neurostimulator is functioning properly without the need for reprogramming.

4. Qualifying circumstances

CPT 95981 is used for patients who have previously had an implanted neurostimulator pulse generator system for the treatment of chronic nausea and vomiting due to gastroparesis. Gastroparesis is a chronic disorder characterized by delayed emptying of the stomach. The subsequent electronic analysis is performed to ensure that the neurostimulator is functioning correctly and does not require reprogramming.

5. When to use CPT code 95981

CPT code 95981 should be used when the provider performs subsequent electronic analysis of an implanted neurostimulator pulse generator system without reprogramming. It is important to note that this code should not be used if reprogramming is performed. In such cases, CPT code 95982 should be used instead.

6. Documentation requirements

To support a claim for CPT 95981, the provider must document the following information:

  • Confirmation of a previously implanted neurostimulator pulse generator system
  • Details of the electronic analysis performed, including functions tested
  • Date and duration of the analysis
  • Results of the analysis and confirmation of proper functioning
  • Signature of the provider performing the analysis

7. Billing guidelines

When billing for CPT 95981, ensure that the subsequent electronic analysis is performed without reprogramming. It is important to use the appropriate CPT code based on the specific services provided. CPT code 95981 should not be reported with other codes for reprogramming. It is also recommended to use modifier 26 when reporting this code to indicate that only the professional component of the service is being billed.

8. Historical information

CPT 95981 was added to the Current Procedural Terminology system on January 1, 2008. There have been no updates or changes to the code since its addition.

9. Examples

  1. A provider performs subsequent electronic analysis of an implanted neurostimulator pulse generator system to check the rate, pulse amplitude, and duration for a patient with gastroparesis.
  2. During the analysis, the provider ensures that the configuration of wave form, battery status, and electrode selectability are functioning properly for a patient with chronic nausea and vomiting.
  3. A previously implanted neurostimulator pulse generator system is electronically analyzed to confirm the output modulation, cycling, and impedance for a patient with gastroparesis.
  4. The provider performs subsequent electronic analysis of a gastric neurostimulator pulse generator system to measure patient-specific parameters and ensure proper functioning without the need for reprogramming.
  5. During the analysis, the provider checks the battery status, electrode selectability, and patient measurements to ensure the neurostimulator is functioning correctly for a patient with chronic nausea and vomiting.
  6. A provider performs subsequent electronic analysis of an implanted neurostimulator pulse generator system to confirm the rate, pulse amplitude, and duration for a patient with gastroparesis.
  7. During the analysis, the provider ensures that the configuration of wave form, battery status, and electrode selectability are functioning properly for a patient with chronic nausea and vomiting.
  8. A previously implanted neurostimulator pulse generator system is electronically analyzed to confirm the output modulation, cycling, and impedance for a patient with gastroparesis.
  9. The provider performs subsequent electronic analysis of a gastric neurostimulator pulse generator system to measure patient-specific parameters and ensure proper functioning without the need for reprogramming.
  10. During the analysis, the provider checks the battery status, electrode selectability, and patient measurements to ensure the neurostimulator is functioning correctly for a patient with chronic nausea and vomiting.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *