July 25, 2019
When our doctors replace a DBS generator because the battery is depleted and they reprogram at the same time, we can bill for the programming, correct?
Yes, you can code for the generator replacement using 61885 (or 61886 if the two leads – right and left – are connected to one battery). You can also code 95983 if the reprogramming is truly performed by the surgeon (and not a company rep) and the parameters programmed to are documented (e.g., amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation). The surgeon must do the programming him/herself – not the vendor rep – and document the actual parameters in order for the neurosurgeon to bill for the programming.
Note that the DBS programming codes changed in 2019. The old codes, 95978 and +95979, were deleted. The new codes are:
|95983||Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with brain neurostimulator pulse generator/transmitter programming, first 15 minutes face-to-face time with physician or other qualified health care professional|
|+95984||with brain neurostimulator pulse generator/transmitter programming, each additional 15 minutes face-to-face time with physician or other qualified health care professional (List separately in addition to code for primary procedure)|
The old codes were for a time frame of an hour whereas the new codes are now in 15 minute increments.
*This response is based on the best information available as of 07/25/19.