2025 CPT code 95982
(Active) Effective Date: N/A Revision Date: N/A Medicine - Neurostimulator Programming Medicine Services and Procedures > Neurology and Neuromuscular Procedures Feed
Subsequent electronic analysis and reprogramming of an implanted gastric neurostimulator pulse generator system.
Modifiers may be applicable depending on the specific circumstances.Examples include modifier 76 (repeat procedure) or other modifiers as per payer specific guidelines.
Medical necessity for 95982 is established when a patient with an implanted gastric neurostimulator experiences a change in symptoms or requires optimization of the device's settings to improve therapeutic efficacy and alleviate symptoms related to gastroparesis. The procedure is medically necessary to ensure the device functions correctly and the patient receives appropriate therapy.
The clinical responsibility lies with the physician or qualified healthcare professional who performs the electronic analysis and reprogramming of the gastric neurostimulator. This includes assessing the device's functionality, identifying any issues, and adjusting settings to optimize therapy for the patient's condition.
- Medicine Services and Procedures > Neurology and Neuromuscular Procedures
- Neurostimulator Analysis and Programming
In simple words: The doctor checks and readjusts the settings of a previously implanted device in the stomach that helps control nausea and vomiting. This is done to make sure the device is working correctly and providing the best possible treatment.
This CPT code, 95982, encompasses the subsequent electronic analysis of a previously implanted gastric neurostimulator pulse generator system, including reprogramming.The analysis involves evaluating various system parameters such as rate, pulse amplitude and duration, waveform configuration, battery status, electrode selectability, output modulation, cycling, impedance, and patient measurements to ensure proper functionality. Reprogramming adjusts these parameters as needed to optimize therapy.
Example 1: A patient with diabetic gastroparesis who has had a gastric neurostimulator implanted for several months experiences increased nausea and vomiting.The physician performs code 95982 to evaluate the device's parameters and make necessary adjustments to improve symptom control., A patient with idiopathic gastroparesis and an implanted gastric neurostimulator reports a change in their symptoms. The physician performs code 95982 to assess the device's performance, troubleshoot potential problems (such as battery life or electrode impedance), and reprogram the device accordingly., During a routine follow-up visit for a patient with a gastric neurostimulator, the physician performs code 95982 to assess the device's functionality, review the patient's response to therapy, and make adjustments to the device's programming to improve efficacy and reduce adverse effects.
* Patient's medical history, including diagnosis of gastroparesis and response to prior treatments.* Documentation of the initial neurostimulator implantation procedure.* Detailed records of the electronic analysis, including all parameters assessed and any adjustments made during reprogramming.* Evidence of the patient's symptoms before and after the procedure.* Physician's notes documenting clinical justification for the procedure.
** This code is specifically for gastric neurostimulators and should not be used for other types of neurostimulators.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- Payment Status: Active
- Specialties:Gastroenterology, Neurosurgery
- Place of Service:Office, Hospital Outpatient, Ambulatory Surgical Center