CPT® Code 0587T

Percutaneous implantation or replacement of integrated single device neurostimulation system for bladder dysfunction including electrode array and receiver or pulse generator, including analysis, programming, and imaging guidance when performed, posterior tibial nerve

The CPT® Code 0587T refers to the procedure of percutaneous implantation or replacement of an integrated single device neurostimulation system specifically designed for bladder dysfunction. This procedure includes the implantation of an electrode array and a receiver or pulse generator, which are essential components of the neurostimulation system. The primary aim of this intervention is to address conditions such as overactive bladder (OAB), a chronic medical issue characterized by an increased urgency to urinate, frequent urination, and involuntary loss of urine, known as incontinence. The neurostimulation system works by delivering electrical signals to the posterior tibial nerve, which plays a crucial role in the bladder's function. These electrical impulses help to modify the communication between the sympathetic and parasympathetic nervous systems, thereby improving bladder storage capacity and reducing the frequency and urgency of urination. The device comprises an implanted lead or electrode, an external pulse transmitter that is worn over the electrode, and a handheld wireless remote control that allows for programming and adjustment of the stimulation settings by a qualified healthcare professional. The implantation procedure is performed under local anesthesia, involving a small incision or injection near the tibial neurovascular bundle, typically located just above the ankle. To ensure accurate placement of the lead or electrode, imaging guidance such as ultrasound may be utilized. This comprehensive approach not only facilitates the effective management of bladder dysfunction but also allows for subsequent adjustments and programming of the device to optimize patient outcomes.