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Spinal Cord Stimulator percutaneous subcutaneous imiplant x 2

  1. #1
    Default Spinal Cord Stimulator percutaneous subcutaneous imiplant x 2
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    How would this be coded?
    Procedure: Pelvic Spinal Cord Stimulator percutaneous subcutaneous imiplant x 2 with battery implant and programming fluoroscopic guided
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    Risks and benefits reviewed. Informed consent signed Pause for cause performed. Pt. was escorted back to the procedure suite and placed in the supine position. After a sterile prep and drape I anesthetized the skin with 1% lidocaine. I used a 14 gauge touhy needle to advance to the subcutaneous percutaneous location in the pelvic/labral region. A second lead was placed using the same technique with one on the right side and one on the left side. I placed the second lead next to the first lead and again programmed the lead for adequate stimulation. There was no significant Heme, or parasthesia during the procedure.
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    Once lead placement was confirmed by fluoroscopy I made a 4 cm in length incision and dissected to the fascia plane. I secured the leads in place to the fascia with anchors and 2-0 silk sutures. Then I went to the left abdominal region and made a 4-5 cm incision and dissected out a pocket for the battery. I then tunneled the SCS leads under the skin to the battery location. I connected and verified connectivity with the equipment representative. I irrigated the wounds and then closed the deeper layers with 2-0 vicryl and then used staples for the skin.
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    Primpore dressing applied to the wounds and the patient was carefully transferred the the recovery room.
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    There was no complication during the procedure and further programming was performed in the recovery area.
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  2. #2
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    Any suggestions would be helpful. My Dr wants the unlisted codes.

  3. #3
    Location
    Denver Colorado
    Posts
    288
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    Consider 64555 Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) x 2 and 64590 Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver, direct or inductive coupling

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