How To Use CPT Code 95983

CPT 95983 describes the analysis and programming of a brain 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 95983?

CPT 95983 can be used to describe the analysis and programming of a brain neurostimulator pulse generator/transmitter system. This code is used when a physician or other qualified healthcare professional spends up to 15 minutes face-to-face with the patient to analyze the function of the neurostimulator system and make programming adjustments.

2. Official Description

The official description of CPT code 95983 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 brain neurostimulator pulse generator/transmitter programming, first 15 minutes face-to-face time with physician or other qualified health care professional.’

3. Procedure

1. The physician or qualified healthcare professional analyzes the function of the brain neurostimulator pulse generator/transmitter system.
2. They make programming adjustments to the system based on the analysis.
3. This process requires up to 15 minutes of face-to-face time with the patient.

4. Qualifying circumstances

Patients eligible to receive CPT 95983 services are those with a brain neurostimulator pulse generator/transmitter system implanted to treat neurological disorders such as epilepsy and Parkinson’s disease. The analysis and programming of the system must be performed by a physician or other qualified healthcare professional.

5. When to use CPT code 95983

CPT code 95983 should be used when a physician or other qualified healthcare professional spends up to 15 minutes face-to-face with the patient to analyze the function of a brain neurostimulator pulse generator/transmitter system and make programming adjustments. This code should be reported for the first 15 minutes of analysis and programming.

6. Documentation requirements

To support a claim for CPT 95983, the physician or qualified healthcare professional must document the following information:

• Details of the brain neurostimulator pulse generator/transmitter system being analyzed and programmed
• Date and start time of the face-to-face session
• Specific analysis performed on 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
• Programming adjustments made to the system
• Duration of the face-to-face session
• Signature of the physician or qualified healthcare professional providing the service

7. Billing guidelines

When billing for CPT 95983, ensure that the service is performed by a physician or other qualified healthcare professional and that the analysis and programming session lasts up to 15 minutes. This code should not be reported with other codes for additional programming time. It is important to consider the specific guidelines and requirements of the payer when submitting claims for CPT 95983.

8. Historical information

CPT 95983 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 analyzing the function of a brain neurostimulator pulse generator/transmitter system and making programming adjustments during a 15-minute face-to-face session with a patient.
2. A qualified healthcare professional testing the contact group(s), amplitude, and pulse width of a brain neurostimulator pulse generator/transmitter system and adjusting the programming during a 15-minute session.
3. A physician analyzing the frequency, on/off cycling, and magnet mode of a brain neurostimulator pulse generator/transmitter system and making programming adjustments during a 15-minute face-to-face session with a patient.
4. A qualified healthcare professional analyzing the dose lockout, patient selectable parameters, and responsive neurostimulation of a brain neurostimulator pulse generator/transmitter system and adjusting the programming during a 15-minute session.
5. A physician analyzing the detection algorithms, closed loop parameters, and passive parameters of a brain neurostimulator pulse generator/transmitter system and making programming adjustments during a 15-minute face-to-face session with a patient.
6. A qualified healthcare professional analyzing and adjusting the programming of a brain neurostimulator pulse generator/transmitter system for a patient with epilepsy during a 15-minute session.
7. A physician analyzing and adjusting the programming of a brain neurostimulator pulse generator/transmitter system for a patient with Parkinson’s disease during a 15-minute face-to-face session.
8. A qualified healthcare professional analyzing and adjusting the programming of a brain neurostimulator pulse generator/transmitter system for a patient with epilepsy during a 15-minute session.
9. A physician analyzing and adjusting the programming of a brain neurostimulator pulse generator/transmitter system for a patient with Parkinson’s disease during a 15-minute face-to-face session.
10. A qualified healthcare professional analyzing and adjusting the programming of a brain neurostimulator pulse generator/transmitter system for a patient with epilepsy during a 15-minute session.