tci E/M Coding Alert - 2020 Issue Q1

Reader Question: Stimulate Your Understanding of Reporting E/M With This Code

Question: The provider saw a patient for an outpatient E/M service. During the physical examination, the provider documented that she interrogated the vagal nerve stimulator and did not get a low battery indication. Is this enough to code a 95970 in addition to the E/M visit? Illinois Subscriber Answer: In order to code 95970 (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...

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