CPT® Code 0788T

1. Indications

The procedure associated with CPT® Code 0788T is indicated for patients who have an implanted integrated neurostimulation system targeting the spinal cord or sacral nerves. This procedure is typically performed when there is a need to evaluate and adjust the neurostimulation settings to optimize patient comfort and therapeutic outcomes. Specific indications may include:

• Adjustment of Neurostimulation Settings to enhance patient sensation and therapeutic effectiveness.
• Monitoring Patient Response to ensure that the neurostimulation system is functioning as intended.
• Customization of Parameters to meet individual patient needs based on their feedback and response to the current settings.

2. Procedure

The procedure for CPT® Code 0788T involves several key steps that ensure the effective analysis and programming of the implanted neurostimulation system. These steps include:

• Step 1: Patient Preparation - The patient is positioned comfortably, and the handheld remote control device is made available for use during the procedure. The healthcare professional explains the process to the patient, ensuring they understand how to provide feedback during the adjustments.
• Step 2: Initial Evaluation - The healthcare professional begins by reviewing the current program settings of the neurostimulation system. This is done by switching between the different programmed configurations using the patient’s handheld device while closely monitoring the patient's sensory responses.
• Step 3: Parameter Adjustment - Based on the patient's feedback, the healthcare professional adjusts up to three parameters of the neurostimulation system. This may include modifications to the amplitude, pulse width, frequency, or other relevant settings to achieve the desired therapeutic effect.
• Step 4: Synchronization - After making the necessary adjustments, the new programming is synced with the patient’s handheld remote control device. This ensures that the patient can access and utilize the updated settings effectively.

3. Post-Procedure

Following the procedure associated with CPT® Code 0788T, the patient is typically advised on how to use their handheld remote control to manage the neurostimulation settings. They may be instructed to monitor their sensations and report any changes or concerns to their healthcare provider. It is important for the patient to follow up with their healthcare professional as needed to ensure the ongoing effectiveness of the neurostimulation system and to make any further adjustments if required. Regular follow-up appointments may be scheduled to assess the patient's response to the new settings and to determine if additional programming is necessary.