L8680 Implantable neurostimulator electrode, each
In a previous post, for peripheral nerve stimulation they were mentioning they were using HCPCS code L8680 for the peripheral leads.
I don't believe they are reimbursing separately for this code and have include the lead cost in spinal cord stimulator code CPT 63650 for Medicare.
Which leaves 64555 without payment for the lead portion of the procedure in an office setting is what I have seen on this forum, but do not have personally experience with peripheral nerve stimulation due receiving only denials in the past.
It is important to note if this truly peripheral subcutaneous field stimulation, as described below then the category III codes should be reported not 64555
Description of Procedure or Service Peripheral subcutaneous field stimulation (PSFS, also called peripheral nerve field stimulation or target field stimulation) is a form of neuromodulation that is intended to treat chronic neuropathic pain. One application of PSFS that is being evaluated is occipital or craniofacial stimulation for headache/migraines, craniofacial pain, or occipital neuralgia. Also being investigated is PSFS for low back pain, neck and shoulder pain, inguinal and pelvic pain, thoracic pain, abdominal pain, fibromyalgia, and post-herpetic neuralgia.
0282T Percutaneous or open implantation of neurostimulator electrode array(s), subcutaneous (peripheral subcutaneous field stimulation), including imaging guidance, when performed, cervical, thoracic or lumbar; for trial, including removal at the conclusion of trial period
0283T Percutaneous or open implantation of neurostimulator electrode array(s), subcutaneous (peripheral subcutaneous field stimulation), including imaging guidance, when performed, cervical, thoracic or lumbar; permanent, with implantation of a pulse generator
0284T Revision or removal of pulse generator or electrodes, including imaging guidance, when performed, including addition of new electrodes, when performed
0285T Electronic analysis of implanted peripheral subcutaneous field stimulation pulse generator, with reprogramming when performed