CPT® Code 0783T

Official Description

Transcutaneous auricular neurostimulation, set-up, calibration, and patient education on use of equipment

Common Language Description

Transcutaneous auricular neurostimulation (TANS) is a therapeutic procedure that involves the application of electrical stimulation to specific nerves, primarily the vagus and trigeminal nerves, through the skin of the ear. This technique is particularly utilized in the context of managing opioid addiction and alleviating withdrawal symptoms associated with it. The procedure is performed by a physician or a qualified healthcare practitioner who is responsible for the initial setup of the neurostimulation device. This includes calibrating the equipment to ensure it functions correctly and providing comprehensive education to the patient regarding the use of the device. The device itself is designed with a disposable earpiece that contains four electrodes, which are strategically positioned around the ear to target key dermatome regions that are in proximity to several cranial nerve branches. The objective of this precise placement is to optimize the stimulation effect on the targeted nerves. During the setup, the practitioner instructs the patient on how to properly place the earpiece and secure the connecting wires, ensuring that the electrodes are positioned correctly for effective stimulation. Additionally, the patient is educated on how to operate the remote controller, which allows them to adjust the intensity of the electrical stimulation according to their comfort level. The device is programmed to deliver stimulation pulses at specific intervals, and the practitioner will adjust the intensity based on the patient's feedback. Furthermore, the patient receives guidance on how to replace the earpiece when necessary, along with important contact information for any follow-up questions or concerns regarding the use of the equipment.

1. Indications

The transcutaneous auricular neurostimulation procedure is indicated for patients seeking assistance in overcoming opioid addiction and managing withdrawal symptoms associated with opioid cessation. This method is particularly beneficial for individuals who are experiencing challenges related to opioid dependency and require a supportive intervention to aid in their recovery process.

Opioid Addiction This procedure is utilized to help patients who are struggling with opioid addiction, providing a non-invasive method to support their recovery efforts.
Withdrawal Symptoms It is indicated for patients experiencing withdrawal symptoms from opioids, offering relief through targeted nerve stimulation.

2. Procedure

The procedure for transcutaneous auricular neurostimulation involves several key steps that ensure effective treatment.

Step 1: Device Setup The healthcare practitioner begins by preparing the neurostimulation device, which includes a disposable earpiece equipped with four electrodes. The practitioner ensures that the device is functioning properly and ready for use.
Step 2: Electrode Placement The practitioner then positions the earpiece around the patient's ear, carefully placing the electrodes at specific points that correspond to the vagus and trigeminal nerves. This precise placement is crucial for maximizing the therapeutic effects of the stimulation.
Step 3: Calibration and Programming After the electrodes are positioned, the device is calibrated to deliver stimulation pulses. The practitioner programs the device to set the timing and intensity of the stimulation, tailoring it to the patient's needs.
Step 4: Patient Education The patient is educated on how to operate the device, including how to use the remote controller to adjust the stimulation intensity. The practitioner provides detailed instructions on the proper use of the equipment and emphasizes the importance of comfort during the procedure.
Step 5: Follow-Up Instructions Finally, the practitioner gives the patient guidance on how to replace the earpiece when necessary and provides contact information for any questions or concerns that may arise during the treatment process.

3. Post-Procedure

Post-procedure care for transcutaneous auricular neurostimulation includes monitoring the patient's response to the treatment and ensuring they are comfortable with the device's operation. Patients are encouraged to follow the instructions provided for replacing the earpiece and to reach out to their healthcare provider if they experience any issues or have questions regarding the stimulation process. Regular follow-up appointments may be scheduled to assess the effectiveness of the treatment and make any necessary adjustments to the stimulation parameters.

Short Descr	TC AURICULR NEUROSTIMULATION
Medium Descr	TC AURICULAR NSTIMJ SETUP CALIBRATION &PT EDUCAJ
Long Descr	Transcutaneous auricular neurostimulation, set-up, calibration, and patient education on use of equipment
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	09 - 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
Berenson-Eggers TOS (BETOS)	none
MUE	1