AMA CPT® Assistant - 2009 Issue 8 (August)

Percutaneous Tibial Nerve Stimulation (PTNS) (August 2009)

August 2009 page 8 Coding Clarification:Percutaneous Tibial Nerve Stimulation (PTNS) Question: My physician is using percutaneous tibial nerve stimulation (PTNS) to treat urinary incontinence. How do I report this procedure? Answer: Percutaneous tibial nerve stimulation is a procedure used by some physicians to treat urinary urgency, frequency, and urge incontinence. A needle electrode is introduced into the ankle near the tibial nerve, and an electrical stimulator is attached to the needle electrode to generate electrical impulses to stimulate the tibial nerve. The electrical impulses travel through the neural pathways to the sacral plexus nerves that control bladder function in...

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