![]() ![]() If a different spinal level is selected for the lead replacement, the physician should bill CPT 63650 for implantation of the new percutaneous lead. The replacement of the generator does not require the removal or replacement of the electrical leads. The diagnosis for this procedure is a V code (V53.02). When the battery in the generator has worn out, the entire generator must be replaced. If the temporary lead(s) are NOT removed when the permanent implantation is performed (i.e., the temporary leads are converted to a permanent lead), there is NO coding for the 63650. Use 63650-59 for each additional percutaneous lead placed. The second lead is billed using the 59 modifier. If placing a second lead, the provider will bill 63650 for the first lead. This is the same code as used for the temporary lead placement. ![]() Most Spinal Neurostimulator systems are performed with a bilateral lead to allow for placement on the left and right side of the spinal column. Use CPT code 63650 for the permanent percutaneous epidural implantation of the neurostimulator electrode array. The generator remains external during a trial implantation. Use CPT code 63650 for the temporary percutaneous epidural implantation of the neurostimulator electrode array.įor permanent implantation, the electrical leads are advanced in the epidural space to a specific level desired. The purpose of the implantation trial is to determine if a spinal cord stimulator will be effective in relieving the pain. A successful trial should be associated with at least a 50 percent reduction of target pain or 50% reduction of analgesic medicationsīest Practices, Documentation Feedback and Tips.For permanent placement, include all of the above documentation, as well as documentation of pain relief with the temporary implanted electrode(s). ![]()
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