CPT® Code 0789T

1. Indications

The procedure associated with CPT® Code 0789T is indicated for patients who have an implanted integrated neurostimulation system targeting the spinal cord or sacral nerves. The following conditions may warrant the use of this procedure:

• Chronic Pain Management Patients experiencing chronic pain conditions that have not responded adequately to conservative treatments may require adjustments to their neurostimulation settings to achieve optimal pain relief.
• Neuromodulation Therapy Individuals undergoing neuromodulation therapy for conditions such as failed back surgery syndrome or complex regional pain syndrome may benefit from the reprogramming of their neurostimulation system.
• Functional Improvement Patients seeking improvement in functional capabilities, such as mobility or quality of life, may need complex programming adjustments to enhance the effectiveness of the neurostimulation.

2. Procedure

The procedure for CPT® Code 0789T involves several detailed steps to ensure the effective programming of the implanted neurostimulation system. The following steps outline the process:

• Step 1: Initial Assessment The healthcare professional begins by conducting an initial assessment of the patient's current neurostimulation settings using the handheld remote control. This involves reviewing the existing programs and determining the patient's sensation and response to the current settings.
• Step 2: Parameter Evaluation The next step involves evaluating four or more specific parameters of the neurostimulation system. These parameters may include contact groups, amplitude, pulse width, frequency, and other relevant settings that influence the stimulation delivered to the spinal cord or sacral nerves.
• Step 3: Adjustments Based on the assessment and evaluation, the healthcare professional makes necessary adjustments to the parameters. This may involve changing the amplitude, modifying the pulse width, or altering the frequency to optimize the patient's response and comfort.
• Step 4: Monitoring and Feedback Throughout the programming process, the healthcare professional continuously monitors the patient's feedback and sensation. Adjustments are made in real-time to ensure that the settings are tailored to the patient's needs and preferences.
• Step 5: Synchronization Once the optimal settings are determined, the new programming is synced with the patient's handheld remote control device. This ensures that the patient can easily access and adjust their neurostimulation settings as needed.

3. Post-Procedure

After the completion of the procedure associated with CPT® Code 0789T, patients may be advised to monitor their sensations and report any changes or discomfort to their healthcare provider. Follow-up appointments may be scheduled to assess the effectiveness of the new programming and make further adjustments if necessary. Patients should be educated on how to use their handheld remote control to manage their neurostimulation settings effectively. Additionally, any specific post-procedure care instructions provided by the healthcare professional should be followed to ensure optimal recovery and device performance.