tci Part B Insider - 2004 Issue 12

Neurostimulators: Hours Of Programming, Weeks of Wrangling

Complex neurostimulators can be tricky to billAny time a procedure or visit has a time-based element, it becomes more complicated. In the case of programming complex neurostimulators, you face the twin possibilities of being denied for treatment after the first hour or downcoded to simple neurostimulators, which don't involve time-based reimbursement. With complex neurostimulators, the CPT book lumps many different types of stimulation into a handful of codes. CPT code 95974 covers the first hour of programming and analysis for a complex cranial neurostimulation and 95972 covers the first hour for a complex brain, spinal cord or peripheral...

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