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 neurostim
CPT4 code
Name of the Procedure:
Electronic analysis of implanted neurostimulator pulse generator/transmitter (e.g., contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation)
Summary
This procedure involves evaluating and adjusting an implanted neurostimulator. The neurostimulator is a device that sends electrical pulses to specific areas of the nervous system to manage chronic pain or neurological conditions.
Purpose
The goal is to ensure the neurostimulator's settings are optimal for the patient's condition, improving symptom control and enhancing quality of life.
Indications
- Chronic pain not controlled by medication
- Movement disorders like Parkinson's disease
- Epilepsy not managed by medication Factors making the procedure appropriate include a previous implantation of a neurostimulator and inadequate symptom relief.
Preparation
- No special fasting required.
- Continue regular medications unless directed otherwise.
- Previous diagnostic tests and programmings to be reviewed.
Procedure Description
- The patient visits the clinic or hospital.
- A special programmer is used to communicate with the implanted neurostimulator.
- Parameters like amplitude, frequency, and pulse width are assessed and adjusted as necessary.
- The patient may need to provide feedback on symptom relief during adjustments.
- Adjustments are saved and the neurostimulator settings updated.
No anesthesia or sedation is typically required.
Duration
The procedure usually takes about 30 minutes to 1 hour.
Setting
Performed in an outpatient clinic or hospital setting.
Personnel
- Neurologist or pain specialist
- Nurse or medical technician
Risks and Complications
- Rare risk of infection at the site of the implant.
- Minor discomfort during adjustments.
- Potential for temporary worsening of symptoms.
Benefits
- Improved control over symptoms.
- Enhanced quality of life.
- Immediate feedback on adjustments.
Recovery
- Patients can return to normal activities immediately.
- Instructions on monitoring symptoms and follow-up visits.
- Any changes in symptoms should be reported promptly.
Alternatives
- Continued medication management
- Surgical interventions for specific conditions
- Potential cons: alternatives may not provide as effective symptom control as neurostimulation.
Patient Experience
During the procedure, patients might feel mild discomfort as settings are adjusted. Post-procedure, they should monitor their symptoms and report changes. Pain management is generally not necessary, but comfort measures include a relaxed setting and supportive care.