CPT® Code 0536T

Code Deleted. See 95999.

Official Description

Continuous recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor for 6 days up to 10 days; download review, interpretation and report

Common Language Description

The CPT® Code 0536T refers to the continuous recording of movement disorder symptoms, specifically targeting conditions such as bradykinesia, dyskinesia, and tremor. Bradykinesia is characterized by a slow or decreased movement, while dyskinesia involves abnormal involuntary movements. Tremor, on the other hand, is defined as shakiness that occurs with voluntary movement, typically affecting the hands and head. These symptoms are often associated with neurological disorders, particularly Parkinson’s Disease. The continuous recording process is essential for measuring the severity of these symptoms and determining the proportion of time patients experience varying levels of dyskinesia, bradykinesia, and tremors in relation to their levodopa medication schedule. This procedure provides objective data that can help clinicians assess the need for advanced treatment options and identify patients who may be at risk for impulse control disorders (ICD), excessive daytime sleepiness, and immobility. The recording device used for this procedure is designed to be waterproof and resembles a clock. It is programmed to align with the patient's medication times and is worn on the wrist, ensuring a snug fit against the skin. The device is activated by the patient placing a finger on its face. At designated medication times, the device vibrates, prompting the patient to indicate that they have taken their medication by sweeping a finger across the clock face. After the prescribed recording period, which lasts between 6 to 10 days, the device displays an envelope symbol, signaling the patient to turn it off by placing a finger on the clock face. The device is then removed from the wristband and either mailed or hand-delivered to the clinician. The clinician subsequently uploads the recorded data into a specialized software program for analysis, generating a comprehensive report. This report is crucial for the clinician to review and interpret the data, allowing for necessary adjustments to the patient's treatment regimen based on the findings.

1. Indications

The continuous recording of movement disorder symptoms using CPT® Code 0536T is indicated for patients exhibiting symptoms associated with various neurological conditions. The specific indications include:

Bradykinesia - This condition is characterized by a noticeable reduction in movement speed and amplitude, which can significantly impact a patient's daily activities.
Dyskinesia - Patients may experience abnormal involuntary movements that can be distressing and interfere with normal functioning.
Tremor - This symptom involves involuntary shaking, particularly in the hands and head, which can occur during voluntary movements.
Monitoring Treatment Efficacy - The procedure is also indicated for assessing the effectiveness of levodopa medication in managing symptoms over time.
Identifying Risks - It helps in identifying patients at risk for impulse control disorders (ICD), excessive daytime sleepiness, and immobility.

2. Procedure

The procedure for continuous recording of movement disorder symptoms involves several key steps, which are detailed as follows:

Device Preparation - A waterproof device resembling a clock is programmed with the patient's medication schedule. This ensures that the device can accurately record symptoms in relation to medication intake.
Device Application - The device is inserted into a band and placed on the patient's wrist, ensuring a snug fit against the skin for optimal data collection.
Activation of the Device - The patient activates the device by placing a finger on the clock face, which begins the recording process.
Medication Reminder - At pre-set medication times, the device vibrates to remind the patient to take their medication. After taking the medication, the patient indicates completion by sweeping a finger over the clock face.
Data Collection Period - The device continuously records movement disorder symptoms over a period of 6 to 10 days, capturing data on bradykinesia, dyskinesia, and tremors.
Device Deactivation - At the end of the recording period, the device displays an envelope symbol. The patient turns off the device by placing a finger on the clock face.
Data Retrieval - The device is then removed from the wristband and either mailed or hand-delivered to the clinician for data analysis.
Data Analysis - The clinician uploads the recorded data into a software program, which analyzes the information and generates a report.
Review and Interpretation - Finally, the clinician reviews and interprets the data, making necessary adjustments to the patient's treatment regimen based on the findings.

3. Post-Procedure

After the completion of the continuous recording procedure, the clinician will analyze the data collected from the device. The expected post-procedure care includes a thorough review of the generated report, which provides insights into the patient's movement disorder symptoms over the recording period. The clinician will interpret the data to assess the effectiveness of the current treatment plan and identify any necessary adjustments. This may involve modifying medication dosages or exploring additional treatment options to better manage the patient's symptoms. Continuous monitoring and follow-up appointments may be scheduled to ensure optimal management of the patient's condition and to address any emerging issues related to their movement disorder.

Short Descr	CONT REC MVMT DO DL W/I&R
Medium Descr	CONT REC MVMT DO SX 6 D<10 D DL REVIEW I&R
Long Descr	Continuous recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor for 6 days up to 10 days; download review, interpretation and report
Status Code	Carriers Price the Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Items and Services Not Billable to the MAC
Berenson-Eggers TOS (BETOS)	none
MUE	Not applicable/unspecified.

Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.