Results 1 to 6 of 6

Dorsal column stimulator coding

  1. Talking Dorsal column stimulator coding
    Medical Coding Books
    I have a question regarding the billing of the placement of the generator after the initial lead placement (trial) was successful. If the physician leaves the lead in place from the initial trial, and only connects the extensions to the lead to connect it to to the generator, can you only charge for the generator placement, 63685? It is not actually a lead revision, nor did he remove and re-insert another lead.
    Thank you.

  2. #2
    I would be very surprised if the same leads were used for both the trial and the perm implant. The leads for the trial have to extend to the exterior of the patients body to connect to the test unit. Surely the surgeon doesn't then implant these non-sterile leads into the patients body during the perm! We always place new leads.

    Anyway, as to your original scenario, you would not be able to bill for a lead revision in the case you describe.
    Last edited by Walker22; 12-08-2009 at 12:45 PM.

  3. Default
    In most cases the patient is seen in the office and the temp leads are removed, but in this case the patient had the temp, then the perm implant the next day. The procedure states an incision was made over the original lead and a new extension was placed and tunneled to the generator pocket, which another extension is placed and connected to the generator. It does not state anything about a new "electrode paddle" being placed, only the extensions. Due to the tunneling of the new "part" of the lead, would this be considered a revision?

  4. #4
    My initial reaction to this would be that no, this does not qualify as a revision. I think the main RVU values for the revision code are for having to realign existing leads that may have slipped out of place. You might want to consult with the manufacturer's reimbursement specialist. Anyone else have anything to add?

  5. Default
    Thank you for your help walker22. That was my initial thinking as well. I really despise billing unlisted codes, but that seems it may be my only option.

  6. #6
    You're welcome!

Similar Threads

  1. Laminotomy and implant of dorsal column spinal cord stimulator
    By in forum Neurology/Neurosurgery
    Replies: 3
    Last Post: 03-06-2014, 11:31 AM
  2. Need help w/a Dorsal Column Stimulator Removal Dx
    By punkyboo in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 03-20-2013, 11:27 AM
  3. Replies: 2
    Last Post: 05-11-2011, 05:34 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.