How To Use CPT Code 95984

CPT 95984 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 95984?

CPT 95984 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 analyzes the function of the neurostimulator system and makes programming adjustments face-to-face with the patient. It is reported for each additional 15 minutes of face-to-face time spent analyzing the neurostimulator function and making programming adjustments.

2. Official Description

The official description of CPT code 95984 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, each additional 15 minutes face-to-face time with physician or other qualified health care professional (List separately in addition to code for primary procedure)’

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. The provider checks various features of the neurostimulator 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.
4. Based on the analysis, the provider adjusts the programming of the brain neurostimulator device.
5. If additional time is needed for analysis and programming, each additional 15 minutes of face-to-face time is reported using CPT code 95984.

4. Qualifying circumstances

CPT 95984 is used for the analysis and programming of a brain neurostimulator pulse generator/transmitter system. This procedure is performed by a physician or other qualified healthcare professional. The neurostimulator system is typically used to treat neurological disorders such as epilepsy and Parkinson’s disease. The analysis and programming are necessary to ensure the correct functioning of the system and to make adjustments based on the patient’s specific needs.

5. When to use CPT code 95984

CPT code 95984 should be used when a physician or other qualified healthcare professional performs the analysis and programming of a brain neurostimulator pulse generator/transmitter system. It should be reported for each additional 15 minutes of face-to-face time spent on the analysis and programming after the initial 15 minutes. This code should not be reported in conjunction with certain other codes, as specified in the notes.

6. Documentation requirements

To support a claim for CPT 95984, the healthcare professional must document the following information:

• Details of the analysis performed on the neurostimulator system
• Programming adjustments made based on the analysis
• Date and duration of the face-to-face time spent on the analysis and programming
• Specific features of the neurostimulator system that were checked and adjusted
• Progress made by the patient and any additional sessions scheduled
• Signature of the physician or qualified healthcare professional providing the service

7. Billing guidelines

When billing for CPT 95984, ensure that the service is performed by a physician or other qualified healthcare professional. Each additional 15 minutes of face-to-face time spent on the analysis and programming should be reported using this code. Be aware of the specific guidelines regarding reporting this code in conjunction with other codes, as mentioned in the notes. It is important to accurately document the time spent on the analysis and programming to support the billing of this code.

8. Historical information

CPT 95984 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 and programming a brain neurostimulator pulse generator/transmitter system for a patient with epilepsy.
2. A qualified healthcare professional making programming adjustments to a brain neurostimulator pulse generator/transmitter system for a patient with Parkinson’s disease.
3. A physician checking the contact group(s) and adjusting the programming of a brain neurostimulator pulse generator/transmitter system for a patient with a neurological disorder.
4. A qualified healthcare professional analyzing the amplitude and frequency of a brain neurostimulator pulse generator/transmitter system for a patient with a neurological condition.
5. A physician making programming adjustments to a brain neurostimulator pulse generator/transmitter system based on the analysis of the patient’s specific needs.
6. A qualified healthcare professional analyzing the dose lockout and patient-selectable parameters of a brain neurostimulator pulse generator/transmitter system for a patient with a neurological disorder.
7. A physician checking the responsiveness of a brain neurostimulator pulse generator/transmitter system and making programming adjustments for a patient with epilepsy.
8. A qualified healthcare professional analyzing the detection algorithms and closed loop parameters of a brain neurostimulator pulse generator/transmitter system for a patient with a neurological condition.
9. A physician making programming adjustments to a brain neurostimulator pulse generator/transmitter system based on the analysis of the patient’s specific symptoms and needs.