Medicare Benefits Schedule - Note TN.8.253

Items 39131 (in person service) and 39141 (remote service by video conference) provide for the reprogramming of an implanted neurostimulator when this has been deemed clinically relevant for the care of a patient by the treating practitioner.

Item 39131 should be billed if the medical practitioner attends in person, and item 39141 should be billed if the medical practitioner attends remotely by video conference. Item 39141 cannot be provided by phone. Only one service can be billed for a patient on a particular day.

Items 39131 and 39141 should not be billed with each other on the same day, or with another attendance item on the same day unless the consultation pertains to a condition other than chronic neuropathic pain, or pain from refractory angina pectoris.

Related Items: 39131 39141

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Multiple Operation Rule

Epidural or peripheral nerve electrodes (management, adjustment, or reprogramming of neurostimulator), with a medical practitioner attending, for the management of chronic neuropathic pain or pain from refractory angina pectoris—each day

Fee: $145.60 Benefit: 75% = $109.20 85% = $123.80

(See para TN.8.244, TN.8.253 of explanatory notes to this Category)

Multiple Operation Rule

Epidural or peripheral nerve electrodes (management, adjustment, or reprogramming of neurostimulator), with a medical practitioner attending remotely by video conference, for the management of chronic neuropathic pain or pain from refractory angina pectoris—each day

Fee: $145.60 Benefit: 75% = $109.20 85% = $123.80

(See para TN.8.244, TN.8.253 of explanatory notes to this Category)