#Cpt code for galvanic skin response how to#
#Cpt code for galvanic skin response portable#

Only the physical agent used and the degree of contact required to deliver the therapy are relevant.Д¬learly, the physical agent at issue is electricity. While the information supplied describes an interesting waveform, which causes a different biologic change than other forms of electrical stimulation, the specific type of biologic change is irrelevant when selecting the appropriate modality code.

Where a non-physician practitioner such as a physical therapist was providing the service, even if the diagnostic aspect of the service were considered separate from the therapy, it is subsumed within the PT/OT/AT re-evaluation service, which cannot be routinely billed in addition to therapy. Where a physician performed this therapy, the analysis would be subsumed within the provider evaluation/management service, which is necessarily bundled into the therapy.

#Cpt code for galvanic skin response portable#

Second, even if this was not true, the analysis would not be separately re portable in any event. The SCENAR diagnostic aspect of the service would not be separately re portable for a number of reasons.ДЇirst, it is a necessary aspect of performing the therapy. There is a diagnostic mode where the SCENAR measures impedance of the skin and other factors and uses this data to modulate the waveform as a means of gaining a better therapeutic result. SCENAR as a therapeutic device using electrical stimulation to achieve its intended effect, the use of this device would be described in CPT as a modality, which is defined as follows:ДЄny physical agent applied to produce therapeutic changes to biologic tissue includes but not limited to thermal, acoustic, light, mechanical, or electric energy.ДЄmerican Medical Association, Current Procedural Terminology (4th ed., 2010). Unless there is this type of training while using SCENAR then it can't be billed as biofeedback. FOR EXAMPLE: ASKING THEM TO THINK ABOUT WHERE THE CHANGES ARE HAPPENING AND VISUALIZING THE CHANGE IN THE BODY. IF YOU ARE CODING SCENAR AS A BIOFEEDBACK TREATMENT IT IS ADVISABLE TO INCLUDE TRAINING REGARDING OBTAINING A VOLUNTARY RESPONSE FROM THE PATIENT IN ORDER TO BE ABLE TO BILL AS BIOFEEDBACK. The service components for biofeedback include reviewing the history/chart, preparing the equipment for use, placing electrodes, reading responses (including galvanic skin responses), and working with the patient to monitor and control/change muscle responses.ДЄmerican Medical Association, CPT Assistant Coding Communication, Biofeedback Services, p.5 (June 1999). Since various methods of biofeedback exist, the type of procedure employed is dependent on the needs of the patient. The patient also receives directions for appropriately reducing tension in the targeted areas of treatment.

#Cpt code for galvanic skin response how to#

Verbal and visual instruction may also be given to the patient to show how to interact with biofeedback information. This may include placement of temperature or EMG sensors to relevant musculature. This is accomplished with various biofeedback monitoring equipment, which may vary from one session to another depending on the presenting symptomatology. It is based on the learning principle that a desired response is learned when some type of information is received (such as a recorded increase in skin temperature that indicates a specific thought process or action has produced the desired physiological response (paraphased from Stedman's Medical Dictionary, 26th Edition). 'Biofeedback identifies the use of training to help an individual gain some element of voluntary control over autonomic body functions'. The advice will vary from Insurer to Insurer. Medical/health practitioners must due their own due diligence any advice provided by NuGen Medical to you and in turn to them is based on generic advice and should not be relied upon as a one size fits all answer. Where self-sticking pads are used such that the therapy is not delivered manually (hand held) and where constant attendance is therefore not required, the appropriate code is: Where therapy is applied in the handheld mode (manual application thereby requiring constant attendance) the correct code according to AMA CPT coding principles is:

You may offer his services to clients at their expense should they require a personal opinion based on their unique circumstance.Д¬PT Coding Insurance Billing for SCENAR Treatment. Michael Miscoe is a CPT coding specialist attorney and his advice was sought regarding giving advice to practitioners regarding CPT coding.

Miscoe JD*, CPC, CASCC, CUC, CCPC, CHCC, CRA