Summary & Overview
CPT 95980: Intraoperative Gastric Neurostimulator Analysis and Programming
CPT code 95980 represents intraoperative electronic analysis and programming of a gastric neurostimulator pulse generator system. This procedure is performed during implantation or revision surgery to verify device function and to program stimulation parameters. Nationally, 95980 is important because it supports appropriate device function at the time of surgery, contributing to immediate procedural safety and therapeutic effectiveness for patients receiving gastric neurostimulation.
Key payers commonly involved in coverage decisions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what CPT code 95980 covers, typical clinical settings, and payer coverage context. The publication provides benchmarks where available, summarizes relevant policy considerations and coding guidance, and outlines the clinical context for use of intraoperative device analysis and programming. The focus is on operational and billing clarity for hospitals, surgical centers, and clinicians involved in gastric neurostimulator implantation and revisions.
Data not available in the input for specific reimbursement rates, diagnosis pairings, or taxonomy mappings.
Billing Code Overview
CPT code 95980 describes intraoperative electronic analysis and programming of a gastric neurostimulator pulse generator system performed during surgery to confirm proper function and adjust device settings as needed. The service type is intraoperative device interrogation and programming. The typical site of service is the operating room or other procedural suite where implantation or revision of a gastric neurostimulator occurs.
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Clinical & Coding Specifications
Clinical Context
A 45-year-old patient with refractory gastroparesis undergoes implantation of a gastric neurostimulator. After the generator is placed in the subcutaneous pocket and leads are secured to the gastric wall, the surgeon requests intraoperative electronic analysis and programming of the pulse generator to confirm lead integrity, verify impedance and capture thresholds, and set initial stimulation parameters. The intraoperative workflow includes device interrogation using the manufacturer programmer, measurement of lead impedance and stimulation thresholds, adjustment of pulse width, amplitude, and frequency as needed, and documentation of device function prior to wound closure. The procedure is typically performed in an operating room or ambulatory surgical center under general anesthesia or monitored anesthesia care, with the implanting physician (often an abdominal surgeon, colorectal surgeon, or surgical gastroenterologist) performing the electronic analysis and programming, and device representatives present to assist with programmer operation if required.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier — default billing indicator | Use as the primary claim when no specific modifier applies |
11 |