2025 CPT code 95970
Effective Date: N/A Revision Date: N/A Medicine - Neurology and Neuromuscular Procedures Feed
Electronic analysis of implanted neurostimulator pulse generator/transmitter (e.g., 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, cranial nerve, spinal cord, peripheral nerve, or sacral nerve, neurostimulator pulse generator/transmitter, without programming.
Modifier 26 may be appended to indicate that only the professional component (interpretation) of the service was provided.
Medical necessity for this procedure must be supported by documentation of the patient's condition and the need to assess the function of the implanted neurostimulator. This may include symptoms, response to stimulation, and other relevant clinical findings.
The physician or other qualified healthcare professional analyzes the implanted neurostimulator pulse generator/transmitter to ensure its proper function and documents the existing settings and electrode impedances.
In simple words: A specialist checks the settings of your implanted nerve stimulator device to make sure it's working correctly, but they don't make any adjustments to the settings during this check.
Electronic analysis of an implanted neurostimulator pulse generator/transmitter involves documenting settings and electrode impedances of the system parameters prior to programming. A physician or other qualified healthcare professional performs an electronic analysis of a variety of parameters of a previously implanted neurostimulator pulse generator/transmitter to ensure that it is functioning properly, without reprogramming. The provider checks the system’s programming to ensure correct functioning of the brain, spinal cord, or peripheral nerve neurostimulator. The analyzed parameters include: 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.
Example 1: A patient with Parkinson's disease has a deep brain stimulator. The physician performs an electronic analysis of the device to assess its function and determine if the current settings are optimal for managing the patient's symptoms., A patient with epilepsy has a vagus nerve stimulator. The physician conducts an electronic analysis to evaluate the device's functionality and confirm that the stimulation parameters are appropriate., A patient with chronic pain has a spinal cord stimulator. The physician performs an electronic analysis of the device, checking the settings to ensure they align with the patient's pain management needs.
Documentation should include the analysis of the neurostimulator's parameters, such as contact groups, amplitude, pulse width, frequency, and other relevant settings. Electrode impedance measurements should also be documented.
** Electronic analysis is inherent to implantation codes and is not separately reportable at the same session. Test stimulations performed during implantation are also included in the implantation code and are not reported separately.
- Specialties:Neurology, Neurosurgery, Pain Management
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office