CPT® Code 0817T

Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, programming, and imaging guidance, when performed, posterior tibial nerve; subfascial

The procedure described by CPT® Code 0817T involves the open insertion or replacement of an integrated neurostimulation system specifically designed for bladder dysfunction. This system includes electrodes, which may be in the form of an array or leadless configuration, as well as a pulse generator or receiver. The procedure is performed on the posterior tibial nerve, which is a branch of the sciatic nerve located in the lower leg. The stimulation of this nerve is intended to provide retrograde neuromodulation to the sacral nerve plexus, which plays a crucial role in controlling the lower urinary tract and bladder function. This treatment is particularly indicated for patients suffering from conditions such as overactive bladder or intractable urge incontinence. The procedure is performed with the patient in a suitable position, and the surgical site is prepared accordingly. The neurostimulator device is carefully placed in proximity to the posterior tibial nerve and secured in place, ensuring that it can effectively deliver the necessary electrical stimulation to alleviate bladder dysfunction. The entire process includes not only the surgical insertion but also the analysis, programming, and any imaging guidance that may be required during the procedure.