Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Endoscopic Approach. ICD-10-PCS 00HV4MZ is a specific/billable code that can be used to indicate a procedure.
This is the doctors notes for the procedure and Dx: CPT-4 and ICD-10 codes for Spinal Cord Stimulator pulse generator (battery) replacement, for a diagnosis of Spinal cord stimulator malfunction, battery end of life and failed back surgery syndrome. - I believe that the CPT code should be 68635 but I'm not sure about the ICD codes.
DIAGNOSIS: Low back pain, lumbar facet arthropathy, lumbar radiculopathy, failure of conservative management. PROCEDURE: Neural modulation with a spinal cord stimulator implant under fluoroscopic guidance.
A battery change is not a malfunction of the stimulator so the T code would not be correct. The battery life for the devices is not indefinite and it isn't considered a malfunction or a failure of the device if the battery needs to be changed - it's routine maintenance (e.g. see Z45.010, which is used for cardiac pacemaker battery changes).
Z96. 82 - Presence of neurostimulator | ICD-10-CM.
What Is a Neurostimulator? Chronic Pain. An implantable neurostimulator is a surgically placed device about the size of a stopwatch. It delivers mild electrical signals to the epidural space near your spine through one or more thin wires, called leads.
CPT® codes 63685 (insertion or replacement of spinal neurostimulator pulse generator or receiver) and 63688 (revision or removal of implanted spinal neurostimulator pulse generator or receiver) are temporarily removed from the list of services that require Medicare prior authorization when performed in a hospital ...
CPT code 63650 is not altered when the implantation of the percutaneous epidural neurostimulator electrode is performed for the purpose of a "temporary" trial or for "permanent" neurostimulation.
A spinal cord stimulation system consists of two implanted components: Neurostimulator — Rechargeable or non-rechargeable implanted power source that generates electrical pulses according to programmable neurostimulation parameters and features.
Neuromodulation works by either actively stimulating nerves to produce a natural biological response or by applying targeted pharmaceutical agents in tiny doses directly to site of action. Neurostimulation devices involve the application of electrodes to the brain, the spinal cord or peripheral nerves.
Based upon Medicare policy, HCPCS code L8680 is no longer billable in the office or non-facility setting because it is included in the payment for procedure code 63650: therefore, the respondent's denial of payment is supported and reimbursement is not recommended.
Complex programming is indicated by CPT code 95972 (Electronic analysis of implanted neurostimulator pulse generator system; complex spinal cord or peripheral neurostimulator pulse generator/transmitter, with intraoperative or subsequent programming, first hour) (see “Billing Tips”).
HCPCS Code for Adaptor/extension, pacing lead or neurostimulator lead (implantable) C1883.
+77003 – Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure)
CPT® codes 63685 (insertion or replacement of spinal neurostimulator pulse generator or receiver) and 63688 (revision or removal of implanted spinal neurostimulator pulse generator or receiver) are temporarily removed from the list of services that require Medicare prior authorization when performed in a hospital ...
Question: If bilateral spinal electrode are placed percutaneously, 63650, can both be reported? Answer: Yes, if two electrodes are placed, bilaterally, both may be reported.