CPT® Code 95984

Add-On Code

Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with brain neurostimulator pulse generator/transmitter programming, each additional 15 minutes face-to-face time with physician or other qualified health care professional (List separately in addition to code for primary procedure)

The CPT® Code 95984 refers to the electronic analysis of an implanted neurostimulator pulse generator or transmitter, specifically focusing on brain neurostimulator systems. This procedure involves a comprehensive evaluation of various parameters that govern the functioning of the neurostimulator, which is crucial for ensuring its optimal performance. The implanted brain neurostimulator consists of a pulse generator placed in a subcutaneous pocket, connected to electrode arrays that are inserted into targeted areas of the brain. These areas may include the brain's surface for cortical stimulation or deeper structures to address movement disorders such as Parkinson's disease, essential tremor, dystonia, and refractory epilepsy. The primary goal of this procedure is to stimulate specific brain regions to alleviate symptoms or manage conditions, including neuropathic pain disorders. During the electronic analysis, the physician or qualified healthcare professional assesses multiple technical aspects of the neurostimulator, including contact groups, interleaving, amplitude, pulse width, frequency (measured in Hertz), on/off cycling, burst mode, magnet mode, dose lockout, and patient-selectable parameters. Additionally, the analysis includes the evaluation of responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters. This thorough diagnostic process is essential for documenting the device's performance, including any logged events, battery status, electrode impedance, and current programmed settings. Furthermore, the procedure encompasses the programming of the brain neurostimulator pulse generator, where the healthcare professional checks stimulating parameters and electrode mapping to achieve optimal therapeutic stimulation. This involves systematically activating each electrode array in monopolar mode while monitoring neurological effects such as bradykinesia, twitching, rigidity, or facial pulling. Ultimately, the final combination of parameters is selected to ensure effective stimulation while minimizing potential adverse effects. It is important to note that CPT® Code 95984 is used to report each additional 15 minutes of face-to-face time spent by the physician or qualified healthcare professional on this analysis and programming, following the initial 15 minutes reported under CPT® Code 95983.