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 neurostim

Name of the Procedure:

Electronic Analysis of Implanted Neurostimulator Pulse Generator/Transmitter

Summary

This procedure involves the assessment and optimization of the settings in an implanted neurostimulator device, including evaluating its electrical parameters like amplitude, pulse width, frequency, and other programmable features.

Purpose

The procedure addresses chronic pain, movement disorders like Parkinson's disease, epilepsy, and other neurological conditions. The goal is to ensure the neurostimulator is functioning correctly and to adjust its settings for optimal symptom control.

Indications

• Chronic pain not responding to conventional treatments
• Movement disorders such as Parkinson's disease and dystonia
• Epilepsy with frequent seizures
• Other neurological conditions requiring neuromodulation Patients with implanted neurostimulators who experience changes in symptoms or device-related issues may require this procedure.

Preparation

• No special fasting requirements.
• Continue taking prescribed medications unless instructed otherwise.
• Any recent symptoms or changes in health should be reported.
• Diagnostic imaging like MRI or X-rays may be reviewed to check the device's placement.

Procedure Description

1. The patient is comfortably seated or lying down.
2. Using a programmer, a healthcare provider communicates with the implanted neurostimulator.
3. Electrical parameters such as contact groups, amplitude, pulse width, and frequency are checked and adjusted.
4. Advanced features like interleaving, burst mode, magnet mode, and dose lockout may be tested and modified.
5. Patient feedback is taken to assess any changes in symptoms during adjustments.
6. The settings are optimized for the best therapeutic outcome.

Duration

Typically, the procedure takes about 30 minutes to 1 hour.

Setting

The procedure is performed in an outpatient clinic or an office setting within a hospital.

Personnel

• Neurologist or specialized physician
• Trained nurse or medical technician

Risks and Complications

• Infection at the site of the device
• Discomfort during adjustments
• Temporary worsening of symptoms
• Rarely, device malfunction

Benefits

• Improved management of symptoms like pain, tremors, or seizures.
• Enhanced quality of life due to better control of neurological conditions.
• Immediate feedback allows for real-time optimization of the device settings.

Recovery

• No significant recovery time required.
• Patients can usually resume normal activities immediately.
• Follow-up appointments may be scheduled to monitor the device’s performance and make further adjustments.

Alternatives

• Medication adjustments
• Surgical intervention to reposition or replace the neurostimulator
• Physical therapy or other non-invasive treatments
• Alternative neurostimulation devices

Patient Experience

• Minimal discomfort during the procedure.
• Patients may feel slight tingling or adjustment in symptoms during device reprogramming.
• Pain management is not typically required, as the procedure is non-invasive.
• Patients should communicate any unusual sensations or discomfort immediately to the healthcare provider.