AAPC - Back to school
Results 1 to 5 of 5

Thread: Neurostimulator electrodes

  1. #1

    Default Neurostimulator electrodes

    AAPC: Back to School
    what is the best way to code for these? units? electrodes (8 units) or leads (1 unit each)..also, do we use a 59 or 51 for 2 leads?

  2. #2
    Join Date
    Apr 2007
    Athens, Ga.


    For commercial insurances they are billed per electrode. If you put in 2 leads with 8 electrodes each, you would bill 16 units of L8680 in addition to 63650. Medicare is different. They build the payment for the leads into the payment for 63650. If you put in two leads you bill 63650x2.
    Walker Bachman, CPC, CPPM

  3. #3



    Medtronic offers some neurostimulator reimbursement information...try the link above

    Hope this helps,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

  4. #4


    if you're billing for the placement of the leads as in Walker22's reply 63650 X2 you need a 51 mod on the second lead.

  5. #5
    Join Date
    Apr 2007
    St. Joseph County, Indiana



    Walker's reply is not completely correct. I work with multiple pain clinics in Michigan and Indiana who routinely (around 100 per year combined) perform stim trials in an office setting.

    All payers pay the L8660 lead code for 8 or 16 contacts. The only time the leads are bundled are if it is performed in an outpatient setting.

    Brock Berta, CPC

Similar Threads

  1. 63650-Percutaneous implant of Neurostimulator Electrodes
    By maebelle@gmail.com in forum ENT/Otolaryngology
    Replies: 3
    Last Post: 01-21-2015, 11:02 AM
  2. Spinal Electrodes via Lami
    By dms979 in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 02-06-2013, 07:56 AM
  3. using t codes for implantation of neurostimulator electrodes
    By lawanda williams in forum Interventional Radiology
    Replies: 0
    Last Post: 01-03-2013, 03:23 PM
  4. Repositioning 33215 of 2 electrodes
    By coding?4u in forum Cardiology
    Replies: 2
    Last Post: 11-23-2009, 05:54 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.