Neurosurgery Coding Alert

Get clear on when to use new neurostimulator codes

4 examples help point you to the right 63661-63664 option. Now that you'll be choosing from four new codes for removal or revision of a percutaneous spinal neurostimulator electrode array, it's important to understand exactly what each code represents. Inserting a spinal neurostimulator is basically "putting a buzzing electrode near nerve roots to drown out pain signals from reaching the brain," Douglas G. Merrill, MD, MBA, taught at the CPT and RBRVS 2010 Annual Symposium in Chicago. "It's in case the epidural approach didn't work or when you can't use the epidural space. The patient can adjust the frequency and amount to eliminate pain." Here are examples from Merrill on distinguishing between the new codes: • 63661 -- The patient took up softball and broke off the wire. Now your surgeon must pull out the array. • 63662 -- Scar tissue and infection are the most common reasons for removing an electrode [...]
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