How to Bill for Spinal Cord Stimulation Trial Placement Code CPT 63650 Permanent Placement
May29

How to Bill for Spinal Cord Stimulation Trial Placement Code CPT 63650 Permanent Placement

How to Bill for Spinal Cord Stimulation Trial Placement Code CPT 63650 Effective January 01, 2014 we have some changes on how to bill for the CPT code for the Percutaneous Lead Trial. ** We are still using the same code CPT 63650 (Percutaneous implantation of neurostimulator electrode array, epidural) for the Percutaneous Lead Trial ** Medicare will no longer reimburse separately for the L8680 Implantable neurostimulator electrode, each. They are now bundled with the CPT 63650 (Percutaneous implantation of neurostimulator electrode array, epidural) service as part of the “Office-based”, Non-Facility reimbursement. ** For the Multiple Procedure of the same code, up to 4 units may be paid by Medicare at 50% Reduction Medicare allowed amount Let’s review the coding here: CPT Code must be billed with the number of units/leads. So if your physician did 2 leads; bill it like this: CPT 63650 x 1 unit CPT 63650-51 x 1 unit ** Per the CCI Edits, your Fluoro is bundled with the CPT 63650 CPT Code 63650 EXCLUDES  Analysis and programming of neurostimulator pulse generator (95970-95975) Additional CPT Programming Codes (if performed by the physician) CPT Code 95971 Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); simple spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming CPT Code 95972 Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (ie, peripheral nerve, sacral nerve, neuromuscular) (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming 95973 (DELETED 01/01/2016) – Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measurements); complex spinal cord, or peripheral (except cranial nerve) neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, each additional 30 minutes after first hour (List separately in addition to code for primary procedure) – Code 95973 has been deleted effective 01/01/2016 ICD 10 Medical Necessity (some on the list below): G89.29 Other chronic pain G89.3 Neoplasm related pain (acute) (chronic) G89.4 Chronic pain syndrome G90.50 Complex regional pain syndrome I, unspecified G90.511 Complex regional pain syndrome I of right upper limb G90.512 Complex regional pain syndrome I of left upper limb G90.513 Complex regional pain syndrome I of upper limb, bilateral G90.519 Complex regional pain syndrome I of unspecified upper limb G90.521 Complex regional pain syndrome I of right lower limb...

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