Prior Auth Required

95972 - Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s]

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceElectronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s]
Procedure / Service Description

initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist - peripheral nerve (eg, sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional 95972 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

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.