AAPC - Back to school
Results 1 to 3 of 3

Thread: Dual octode electrode placement

  1. #1
    Join Date
    Apr 2007

    Default Dual octode electrode placement

    AAPC: Back to School
    When doing trials for SCS in the office, would you bill 63650 twice if it was a dual electrode placement?


  2. #2
    Join Date
    Apr 2007
    Lincoln, NE


    No, not if at the same site/level. CPT code 63650 is for electrode array which covers single or multiple electrodes.

    Julie, CPC

  3. #3
    Join Date
    Apr 2007
    Denver Colorado


    If provider inserts two separate epidural spinal electrode arrays/leads/catheters, then you would report 63650 and 63650-51. However, if you are refering to multiple electrodes (8 for an octrode) on a single array/lead/catheter, the coding is based on the array/lead/catheter and not the number of electrodes.

    Per CPT Assistant 1999:
    Question: My doctor performed a procedure in which percutaneous placement of two neurostimulator electrode catheters were placed through two separate sites. How should this procedure be reported?

    AMA Comment: CPT makes no distinctions as to the number of sites required for the placement of electrode catheters. CPT code 63650, Percutaneous implantation of neurostimulator electrode array, is reported for the placement of the initial neurostimulator electrode catheter. Percutaneous placement of additional catheters is reported with CPT code 63650 appended by modifier '-51.'

    And excerpt from Dec 2008 CPT Assistant:
    Answer: For both the 63650-63660 and 64553-64581 series of codes, placement of any additional electrode catheter(s) or plate(s)/paddle(s) should be separately reported by appending either modifier 51 (same anatomic site) or modifier 59 (different anatomic site) to the appropriate code...

Similar Threads

  1. epicardial electrode
    By tceesay in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 04-30-2014, 09:09 AM
  2. Replies: 3
    Last Post: 05-21-2013, 05:43 AM
  3. Trial Placement of 2 Perc Apinal Neurostim Electrode(s)
    By joanne71178 in forum Orthopaedics
    Replies: 0
    Last Post: 05-17-2013, 12:12 PM
  4. electrode repair
    By PYARNELL in forum Cardiology
    Replies: 1
    Last Post: 03-27-2012, 03:51 AM
  5. Replies: 1
    Last Post: 03-05-2010, 07:52 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.