In new code Table XWH, Anatomical Regions, Insertion, Device/Substance/ Technology value Q Neurostimulator Lead was added as shown below. The new code identifies the use of electrical pulses to stimulate sensory nerves in the oropharynx. The procedure is used to treat neurogenic dysphagia in adult patients with a tracheostomy when weaned from mechanical ventilation or from non-progressive neurogenic dysphagia (e.g. from stroke, traumatic brain injury, critical illness polyneuropathy, Guillain-Barre syndrome).
|Body Part||Approach||Device/ Substance/ Technology||Qualifier|
|D Mouth and Pharynx||7 Via Natural or Artificial Opening||Q Neurostimulator Lead||7 New Technology Group 7|
Phagenyx® uses electrical pulses to stimulate sensory nerves in the oropharynx. The stimulated nerves send signals to the motor cortex in the brain, increasing cortical activity and promoting neuroplasticity to restore swallowing control through functional cortical reorganization. The Phagenyx® System is comprised of a sterile single patient use catheter with an optional feeding lumen and a Base Station. The feeding tube can be used to administer nutrition and fluids if required--only one tube is required for both treatment and feeding. Facilities may report the insertion of a feeding tube using the appropriate code in table 0DH, Insertion of Gastrointestinal System, if desired.