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The CPT® Code 93151 refers to the process of interrogation and programming of an implanted phrenic nerve stimulator system, specifically focusing on the adjustment of at least one parameter. This procedure is primarily utilized for patients who have undergone implantation of the phrenic nerve stimulator to treat central sleep apnea. The interrogation process involves assessing the device's performance and functionality, which includes evaluating the pulse generator in various sleeping positions—supine, left side, and right side. This assessment is crucial for determining the optimal settings for stimulation rate, pulse amplitude, duration, timing of stimulation, and impedance. During this procedure, healthcare professionals also check the battery status and the functionality of the electrodes, as well as measure output, cycling, and impedance. Patient compliance is another important factor that is evaluated. The patient's feedback regarding their experience with the device settings is gathered to ensure that the adjustments made align with their personal perceptions of efficacy. The data collected from the device is then used to configure the stimulation and pacing settings appropriately. In the context of CPT® Code 93151, at least one parameter must be modified or adjusted to enhance the therapeutic outcomes for the patient. This is distinct from CPT® Code 93153, which involves interrogation without any reprogramming or adjustments. Following the interrogation and programming, the results are communicated to the patient, including discussions about the necessity for any further adjustments and the importance of ongoing monitoring to ensure continued effectiveness of the treatment.
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The procedure associated with CPT® Code 93151 is indicated for patients who have a previously implanted phrenic nerve stimulator system aimed at treating central sleep apnea. The specific indications for performing this interrogation and programming include:
The procedure for CPT® Code 93151 involves several critical steps to ensure the effective interrogation and programming of the implanted phrenic nerve stimulator system. Each step is designed to gather comprehensive data and make necessary adjustments to optimize the device's performance.
After the interrogation and programming of the phrenic nerve stimulator system, patients are typically advised on the importance of follow-up appointments to monitor the effectiveness of the adjustments made. It is essential to assess the patient's response to the new settings and to determine if further modifications are necessary. Patients may also be instructed to report any new symptoms or changes in their condition promptly. Continuous monitoring and communication between the patient and healthcare provider are crucial for ensuring the long-term success of the treatment and for making any additional adjustments as needed.
| Short Descr | INTERROG&PRGRMG IPNSS | Medium Descr | INTERROG&PRGRMG IMPL PHRENIC NRV STIMULATOR SYS | Long Descr | Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system | Status Code | Active 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 | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | GA | Waiver of liability statement issued as required by payer policy, individual case |
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| 2024-01-01 | Added | Code Added. |
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