Wiki Coding spinal cord stimulators

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kfrycpc

kfrycpc

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Hello, I've recently starting coding spinal cord stimulators. Can you tell me if the below is correct coding?

1.Insertion of Medtronic permanent spinal cord stimulator, battery and generator under fluoroscopic guidance 63650 x2 for the stimulator and two leads, 63685 for the battery
2.Two Leads: 1 Medtronic advanced battery 2 Medtronic anchor L8680 x 2 for 2 leads and L8699 x 2 for the anchors

Thank you so much in advance!
 
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Hello,

For the spinal cord stim trial (pain management) I bill the following….63650 (if 2 leads are placed I bill 63650 and 63650-59) I then also bill 95971-59 and 77003.

For the permanent spinal cord stim I bill 63655 (with laminectomy) and 63685, 95972-59, and 77003 (26 modifier). Typically for the permanent stim they always use the paddle not the leads, but it would be the same if they did permanent leads as the pain management.

I do not bill the any L codes
 
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