2025 CPT code 95873
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Neurology - Ischemic Muscle Testing Procedures and Guidance Procedures for Chemodenervation Neurology and Neuromuscular Procedures Feed
Electrical stimulation guidance for chemodenervation; add-on code.
Modifier 26 (professional component) may be appropriate if the physician only interprets the results of the electrical stimulation, and not performing the technical component themselves. Modifier 50 (bilateral procedure) may apply if both sides are treated.
Chemodenervation procedures guided by electrical stimulation are medically necessary when conservative treatments have failed or are unsuitable and when the patient's condition warrants this targeted intervention.The clinical indication for the chemodenervation and the medical necessity of the procedure must be clearly documented.
The physician or qualified healthcare professional is responsible for applying the electrical stimulation, interpreting the results to guide the injection, and performing the chemodenervation injection. The physician should document the technical aspects of the procedure, including electrode placement, stimulation parameters, and muscle response.
- Neurology and Neuromuscular Procedures
- Neurology and Neuromuscular Procedures; Ischemic Muscle Testing Procedures and Guidance Procedures for Chemodenervation
In simple words: This code describes using electrical stimulation to pinpoint exactly where to inject medicine to relax overly active muscles.It's added to the main code for the injection itself.
This CPT code, 95873, reports electrical stimulation used for guidance during chemodenervation procedures.It's an add-on code and must be reported in addition to the primary procedure code for chemodenervation. This code represents the use of electrical stimulation to identify the precise location for injection of a chemodenervating agent, such as botulinum toxin. The procedure involves applying electrodes to the skin to stimulate specific nerves and cause muscle contractions, enabling precise targeting of the injection site for optimal therapeutic effect.
Example 1: A patient presents with cervical dystonia causing significant head and neck pain. The physician uses electrical stimulation (CPT 95873) to guide the injection of botulinum toxin (e.g., J0585) into the affected muscles.The appropriate chemodenervation codes are reported in addition to the code for the injected substance., A patient with blepharospasm experiences uncontrolled eyelid spasms affecting their vision. The physician uses electrical stimulation (CPT 95873) to guide the injection of botulinum toxin into the orbicularis oculi muscle. The appropriate chemodenervation codes are reported in addition to the code for the injected substance., A patient with focal hand dystonia affecting their ability to write undergoes chemodenervation with botulinum toxin. The physician utilizes electrical stimulation (CPT 95873) for precise injection guidance into the affected hand muscles. The appropriate chemodenervation codes are reported in addition to the code for the injected substance.
* Detailed history and physical examination documenting the diagnosis and need for chemodenervation.* Precise documentation of the technique used for electrical stimulation guidance, including electrode placement and parameters.* Records indicating the muscles targeted for injection and the amount of chemodenervating agent administered.* Post-procedure assessment of the patient's response to treatment.* Appropriate diagnostic codes reflecting the patient's condition.
** This code should only be reported when electrical stimulation is used specifically to guide the chemodenervation injection.The documentation should clearly demonstrate the use of electrical stimulation for this purpose.Always check payer-specific guidelines for any additional requirements or limitations.
- Revenue Code: Dependent on the specific facility and payer.
- RVU: RVUs vary based on geographic location and other factors. Consult your local Medicare fee schedule or payer-specific information for the most accurate RVU values.
- Global Days: This is an add-on code, and therefore doesn't have a global period.
- Payment Status: Active
- Modifier TC rule: Modifier TC (technical component) is generally not applicable, as this is an add-on professional service.However, specific payer guidelines should be consulted.
- Fee Schedule: Fee schedules vary by location and payer.Consult your specific fee schedule or payer for historical data.
- Specialties:Neurology, physiatry, neuromuscular medicine
- Place of Service:Office, hospital outpatient department, ambulatory surgical center