CPT® Code 95980

Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient measurements) gastric neurostimulator pulse generator/transmitter; intraoperative, with programming

An intraoperative electronic analysis of an implanted gastric neurostimulator pulse generator and transmitter system is conducted to ensure the proper functioning of the device. This procedure is essential for patients suffering from gastroparesis, a condition that results in delayed gastric emptying, leading to various digestive issues. Gastric electrical stimulation (GES) is a therapeutic approach that employs a gastric pacemaker device to deliver mild electrical stimulation to the lower stomach nerves. This stimulation promotes the contraction of the stomach muscles, facilitating the movement of food through the digestive tract. During the procedure, the gastric neurostimulator system is thoroughly evaluated, particularly during the separately reportable placement or replacement of the device. The neurostimulator and its memory card are programmed with specific parameters tailored to the patient's needs before the electrodes are inserted into the stomach. Following the placement of the electrode wires, an interrogation procedure is performed to assess the system's functionality. This involves checking the impedance between the wires and making necessary adjustments to ensure that the readings fall within the acceptable range. The procedure is comprehensive, including multiple checks and adjustments to confirm that the device operates correctly before the surgical incisions are closed. Once the impedance is confirmed to be within range, the stimulation settings are programmed and verified, ensuring that all components of the neurostimulator are functioning optimally before the device is activated.