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Official Description

Electronic analysis of implanted peripheral subcutaneous field stimulation pulse generator, with reprogramming when performed

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 0285T refers to the electronic analysis of an implanted peripheral subcutaneous field stimulation pulse generator, which includes reprogramming when necessary. This procedure involves the assessment and adjustment of a device known as an implanted pulse generator (IPG). The IPG is a battery-operated device specifically designed to deliver electrical stimulation to targeted painful areas located over the cervical, thoracic, or lumbar regions of the spine. Unlike traditional methods that provide stimulation centrally along the spinal cord, this device operates peripherally, aiming to alleviate pain by directly stimulating the affected areas. During the electronic analysis, a healthcare professional, such as a neurologist, nurse, or trained technician, evaluates critical parameters of the neurostimulator, including the rate, pulse amplitude, and duration of the electrical pulses. This evaluation is conducted using a telemetry device, which allows for real-time monitoring and adjustments to be made to the device settings to ensure optimal pain relief tailored to the individual patient's needs. Additionally, the analysis includes assessing the battery life of the neurostimulator, enabling proactive replacement of the unit before the battery reaches failure, thus ensuring continuous pain management for the patient.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The electronic analysis of an implanted peripheral subcutaneous field stimulation pulse generator is indicated for patients experiencing chronic pain conditions that may benefit from electrical stimulation therapy. This procedure is typically performed when there is a need to assess the effectiveness of the stimulation, adjust the settings for optimal pain relief, or evaluate the remaining battery life of the device to prevent unexpected failure.

  • Chronic Pain Management Patients suffering from chronic pain conditions, particularly those affecting the cervical, thoracic, or lumbar spine, may require this procedure to optimize their pain management strategy.
  • Device Performance Evaluation The procedure is indicated when there is a need to evaluate the performance of the implanted pulse generator to ensure it is functioning correctly and providing the intended therapeutic effects.
  • Reprogramming Needs If a patient reports inadequate pain relief or changes in their pain levels, this procedure may be indicated to reprogram the device settings to better meet their current needs.

2. Procedure

The procedure for the electronic analysis of the implanted peripheral subcutaneous field stimulation pulse generator involves several key steps to ensure thorough evaluation and reprogramming as needed.

  • Step 1: Patient Preparation The patient is prepared for the procedure by ensuring they are comfortable and informed about the process. This may include discussing any recent changes in their pain levels or device performance.
  • Step 2: Device Connection A telemetry device is connected to the implanted pulse generator. This device allows for wireless communication with the neurostimulator, enabling the healthcare professional to access the device's settings and performance data.
  • Step 3: Data Analysis The healthcare professional conducts an electronic analysis of the neurostimulator, evaluating critical parameters such as pulse rate, amplitude, and duration. This analysis helps determine if the current settings are effective for the patient's pain management.
  • Step 4: Reprogramming Based on the analysis results, the healthcare professional may reprogram the device settings to optimize pain relief. Adjustments are made to the pulse rate, amplitude, and duration as necessary to tailor the therapy to the patient's needs.
  • Step 5: Battery Life Assessment The analysis also includes an evaluation of the neurostimulator's battery life. The healthcare professional checks the remaining battery capacity to predict when the device will need replacement, ensuring uninterrupted pain management for the patient.

3. Post-Procedure

After the electronic analysis and any necessary reprogramming of the implanted pulse generator, the patient may be monitored briefly to ensure that the device is functioning correctly and that they are not experiencing any immediate adverse effects. Patients are typically advised to report any changes in their pain levels or device performance following the procedure. Additionally, they may receive instructions on how to care for the device and when to schedule follow-up appointments for further evaluations or adjustments. It is essential to ensure that the patient understands the importance of regular monitoring and maintenance of the implanted device to achieve optimal pain management outcomes.

Short Descr PERIPH FIELD STIMUL ANALYS
Medium Descr ELEC ANLYS IMPLANT SUBQ FIELD STIM PG REPROGRAMM
Long Descr Electronic analysis of implanted peripheral subcutaneous field stimulation pulse generator, with reprogramming when performed
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 9 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Procedure or Service, Not Discounted when Multiple
Type of Service (TOS) 9 - Other Medical Items or Services
Berenson-Eggers TOS (BETOS) T2D - Other tests - other
MUE Not applicable/unspecified.
CCS Clinical Classification 7 - Other diagnostic nervous system procedures
Date
Action
Notes
2016-12-31 Deleted Code deleted.
2012-01-01 Added Added
Code
Description
Code
Description
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