2025 CPT code 95981
(Active) Effective Date: N/A Revision Date: N/A Medicine - Neurostimulator Analysis Medicine Services and Procedures > Neurology and Neuromuscular Procedures Feed
Subsequent electronic analysis of an implanted gastric neurostimulator pulse generator system without reprogramming.
Modifiers may be applicable depending on the circumstances of the service, such as modifier 59 for a distinct procedural service, if the analysis is performed as a separate and distinct procedure from other services provided on the same day.
Medical necessity for 95981 is established by the presence of an implanted gastric neurostimulator and the need to evaluate its proper functioning without reprogramming.This is crucial for ensuring continued efficacy and safety of the therapy, identifying potential issues early, and optimizing patient care.
The clinical responsibility involves assessing the functionality of an implanted gastric neurostimulator to ensure optimal therapeutic delivery.This includes reviewing various system parameters and confirming the device is operating as intended without needing adjustments.The physician or qualified healthcare professional interprets the data and determines if further intervention or reprogramming is necessary.
In simple words: The doctor checks a device already placed in the stomach to make sure it's working correctly, without changing its settings. This device helps with stomach problems.
This CPT code, 95981, reports the subsequent electronic analysis of a previously implanted gastric neurostimulator pulse generator system.The analysis assesses the device's functionality, including parameters like rate, pulse amplitude and duration, waveform configuration, battery status, electrode selectability, output modulation, cycling, impedance, and patient measurements.Reprogramming of the system is not included.
Example 1: A patient with gastroparesis and an implanted gastric neurostimulator reports increased nausea.The physician performs a subsequent electronic analysis (95981) to rule out any device malfunction. The analysis reveals normal function, leading to a further investigation of the patient's symptoms., Routine follow-up for a patient with a gastric neurostimulator is scheduled six months post-implantation.The physician performs 95981 to assess device function and battery life without reprogramming.The results confirm the device is operating optimally., A patient experiences intermittent nausea and vomiting.The physician performs an electronic analysis (95981) which reveals a low battery level in the neurostimulator.The physician schedules a reprogramming session at a later date to replace the device.
* Patient's medical history including gastroparesis diagnosis and treatment.* Pre- and post-analysis device parameters.* Documentation of the electronic analysis procedure performed.* Physician's interpretation of the data and clinical assessment.* Notes about patient symptoms and response to therapy.
** This code is specifically for subsequent analysis without reprogramming.If reprogramming is performed, use code 95982.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Specialties:Gastroenterology, Neurosurgery
- Place of Service:Office, Hospital (Inpatient/Outpatient), Ambulatory Surgical Center