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The CPT® Code 95982 refers to the electronic analysis of an implanted gastric neurostimulator pulse generator and transmitter system. This procedure involves a detailed assessment of various parameters such as the rate, pulse amplitude and duration, configuration of the waveform, battery status, electrode selectability, output modulation, cycling, impedance, and patient measurements. Gastric electrical stimulation (GES) is a therapeutic approach used primarily to manage gastroparesis, a condition characterized by delayed gastric emptying. The GES system employs a gastric pacemaker device that delivers mild electrical stimulation to the lower stomach nerves, promoting contractions that facilitate the movement of food through the digestive tract. During the procedure, the gastric neurostimulator system is evaluated, particularly after its placement or replacement, which is reported separately. Prior to the insertion of electrodes into the stomach, the neurostimulator device and its memory card are programmed according to the specific needs of the patient. Following the placement of electrode wires, an interrogation procedure is conducted to ensure proper functionality. This involves attaching an interrogating head, checking the impedance between the wires, and making necessary adjustments if the impedance is not within the acceptable range. The process may require switching the polarity of the electrodes or adjusting the wires until the impedance is corrected. After the implantation procedure is completed, the interrogation and impedance analysis are repeated to confirm that the system is functioning correctly. The stimulation settings, including the stimulation rate, pulse width, cycling times, and battery status, are meticulously checked and documented. Once all components are verified to be operating properly, the device is activated, and the interrogating head is removed. This comprehensive analysis is crucial for ensuring the effective operation of the gastric neurostimulator system and is typically performed at regular intervals, such as every six months, to monitor the device's performance and make any necessary adjustments.
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The electronic analysis of an implanted gastric neurostimulator pulse generator and transmitter system is indicated for the following conditions:
The procedure for the electronic analysis of the gastric neurostimulator pulse generator involves several critical steps to ensure the device is functioning correctly.
After the electronic analysis and programming of the gastric neurostimulator, the patient is monitored to ensure that the device is functioning as intended. Subsequent electronic analyses are typically performed at six-month intervals to verify the ongoing functionality of the GES system. During these follow-up analyses, the interrogating head is placed over the subcutaneous stimulator in the abdomen, and measurements such as impedance, voltage, current, stimulation rate, pulse width, cycling times, and battery status are taken. These measurements are compared with previous settings to ensure consistency, although no adjustments may be necessary if the system is functioning properly. If reprogramming is required, it is performed by the physician, who verifies the results using the interrogator.
| Short Descr | IO GA N-STIM SUBSQ W/REPROG | Medium Descr | ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG | Long Descr | Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient measurements) gastric neurostimulator pulse generator/transmitter; subsequent, with reprogramming | 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 | STV-Packaged Codes | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 7 - Other diagnostic nervous system procedures |
| 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GW | Service not related to the hospice patient's terminal condition |
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| 2013-01-01 | Changed | Guideline information changed. |
| 2008-01-01 | Added | First appearance in code book in 2008. |
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