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Insertion o fvagal nerve stimulator w/ nerve electrode array and programmer

Deborah h Posted Thu 19th of February, 2015 17:43:02 PM

How would you code insertion of a vagal nerve stimulator and of vagal nerve electrode array with interrogation of the stimulator programmer?

SuperCoder Answered Mon 23rd of February, 2015 04:09:27 AM

Hello,

Thanks for your question,

You should report 64568 (this includes both nerve stimulator and electrode placement)with 95974 for interrogation for one hour duration, if interrogation go beyond an hour then add 95975 for that additional time.

Hope this answers you query.

Thanks

Deborah h Posted Sun 06th of September, 2015 09:11:08 AM

Is the programming include in the service of neurostimulator implantation, revision, and removal and should only be coded at a later time than the implantation? Please list your resources.

SuperCoder Answered Mon 07th of September, 2015 03:53:02 AM

Yes, the provider makes an incision and implants a neurostimulator electrode array on the vagus nerve and one of the cranial nerves, and also implants a programmable pulse generator. Hope it helps!

Deborah h Posted Tue 08th of September, 2015 07:29:24 AM

I know he implants a programmable pulse generator, but can you charge to program it?

SuperCoder Answered Wed 09th of September, 2015 04:47:16 AM

This the protocol to program the device while placing it. So, it cannot be billed separately.

Deborah h Posted Wed 09th of September, 2015 07:35:32 AM

Cpt code 95974 has in the description of the code "with intraoperative or subsequent programming," so wouldn't intraoperative mean, "occurring during a surgical operation." Your thoughts?

SuperCoder Answered Thu 10th of September, 2015 07:19:09 AM

Well, section specific guidelines of CPT code 95974 indicate that CPT code 64568 should be used when neurostimulator pulse generator inserted. So, you can bill both the CPT code 64568 and 95974 together. CCI edits do not show any bundling in between these 2 codes. Also, for reference, you can check the coding section specific guidelines of CPT 95974. Hope it helps!

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