CPT® Code 0767T

Add-On Code

1. Indications

The transcutaneous magnetic stimulation procedure is indicated for the management of chronic pain, particularly in cases following traumatic injuries. This technique is specifically utilized when patients experience pain localized to peripheral nerves, which may be associated with conditions such as neuromas or other nerve-related issues.

• Chronic Pain Management This procedure is performed to alleviate chronic pain that persists after a traumatic injury.
• Pain Localization It is indicated when pain is localized to a specific peripheral nerve, especially at the trauma site or near a palpable neuroma.

2. Procedure

The procedure involves several key steps to ensure effective treatment of the targeted nerve. Initially, the clinician identifies the location of the nerve pain, which is crucial for the success of the treatment. This identification may involve palpation and assessment of the area surrounding the trauma site or neuroma. Once the general area is determined, the clinician uses a specialized coil head of the stimulator device to apply focused low-frequency electromagnetic pulses. The clinician moves the coil head along the identified area, carefully monitoring the patient's feedback to pinpoint the exact location of pain. As the coil is moved, the amplitude of the electromagnetic impulses is incrementally adjusted based on the patient's responses, ensuring that the stimulation is both effective and tolerable. When the patient indicates that the precise point of pain is being stimulated, this location is marked on the skin with permanent ink for future reference. A photograph is also taken to document the position of the coil head at the time of stimulation. Following the identification and marking process, the clinician proceeds to apply the electromagnetic pulses to the painful nerve for a duration of approximately 15 to 20 minutes, completing the treatment session.

• Step 1: Pain Identification The clinician begins by identifying the location of the nerve pain, often through palpation and assessment of the trauma site or adjacent neuroma.
• Step 2: Coil Positioning The coil head of the stimulator is positioned over the identified area, and the clinician moves it along the region while applying electromagnetic pulses.
• Step 3: Patient Feedback The clinician adjusts the amplitude of the impulses based on the patient's feedback, aiming to find the exact point of pain relief.
• Step 4: Marking the Location Once the precise location is determined, it is marked on the skin with permanent ink, and a photograph is taken for documentation.
• Step 5: Treatment Application The clinician applies the electromagnetic pulses to the painful nerve for approximately 15 to 20 minutes to provide therapeutic relief.

3. Post-Procedure

After the procedure, patients may experience immediate relief from pain, although the full effects may take time to manifest as the treatment is repeated over several months. It is important for patients to follow any post-procedure care instructions provided by the clinician, which may include monitoring the treated area for any adverse reactions and scheduling follow-up appointments for ongoing treatment. Documentation of the treatment session, including the marked locations and patient responses, is essential for future reference and continuity of care.