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2025 CPT code 95983

Electronic analysis of an implanted brain neurostimulator with programming; first 15 minutes of physician face-to-face time.

Adhere to the official CPT coding guidelines for neurostimulator programming.Accurate documentation is crucial to justify the reported codes.

Modifiers may be applicable depending on the circumstances of service. Refer to the CPT manual for specific modifier guidelines.

Medical necessity is established by the presence of a neurological condition appropriately treated by neurostimulation, documented clinical indications for programming adjustments (e.g., worsening symptoms, inadequate response to current settings), and the physician's assessment demonstrating the need for reprogramming to optimize therapy.

The physician or other qualified healthcare professional is responsible for analyzing the implanted neurostimulator's functionality, interpreting the data obtained from the electronic analysis, adjusting the device's programming parameters to optimize therapeutic effects, and ensuring the safety and efficacy of the treatment.

IMPORTANT:For additional 15-minute intervals of programming, use code 95984. Code 95970 describes electronic analysis without programming.For gastric neurostimulator programming, see codes 95980-95982.

In simple words: The doctor checks and adjusts the settings of a brain stimulator implanted in the patient's brain. This involves testing different features of the device and making adjustments to improve treatment. This code covers the first 15 minutes the doctor spends doing this.

This CPT code encompasses the electronic analysis of an implanted brain neurostimulator pulse generator/transmitter system, including programming adjustments.The analysis involves evaluating various system parameters such as contact groups, interleaving, amplitude, pulse width, frequency, on/off cycling, burst mode, magnet mode, dose lockout, patient-selectable parameters, responsive neurostimulation features, detection algorithms, closed-loop parameters, and passive parameters.Programming involves adjusting one or more of these parameters to optimize therapy based on the patient's clinical presentation. This code reports the first 15 minutes of physician or other qualified healthcare professional face-to-face time spent on this process.

Example 1: A patient with Parkinson's disease experiences worsening tremors. The neurologist performs an electronic analysis of the implanted deep brain stimulator and adjusts the amplitude and frequency parameters to reduce tremor severity. This session lasts 15 minutes., A patient with epilepsy has increased seizure frequency. The neurologist performs an electronic analysis and reprogramming of the implanted responsive neurostimulation device. The session includes adjusting detection algorithms and closed-loop parameters, lasting 22 minutes (95983 x 1)., Following initial implantation of a brain stimulator for essential tremor, the patient is experiencing insufficient therapeutic benefit.The neurologist assesses the device and adjusts multiple parameters, including pulse width and on/off cycling, taking 30 minutes (95983 x 1 + 95984 x1).

Detailed documentation should include: pre-programming system settings and electrode impedances, a record of all parameters adjusted during the programming session, the rationale for each adjustment, and the final program parameters.Patient's response to the changes should be documented, including any observed improvements or adverse effects.Progress notes should correlate the programming changes to the patient's clinical status.

** This code should only be reported when the physician or other qualified healthcare professional performs the programming of the neurostimulator.Time spent less than 8 minutes is not separately reportable.

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