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Thread: Pain management

  1. #1

    Question Pain management

    AAPC: Back to School
    I work at an ASC and they are starting to do some pain management cases with the spinal stimulators. (63650) we bill for the trial and for the permanent implantation of the electrodes and generator ,we have been billing 63655 and 63685. I have been asked if 63650,63655 and 63685 can be done and billed together. In trying to find my answer I have found a couple of answers that have come up saying that they can be billed together and one that says they are mutually exclusive and cannot be billed together.
    Can anyone help please? Or, suggest where I can find some good pain management coding and billing information.

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


    63650 and 63655 are two different procedures and cannot be billed together. I bill these procedures all the time. Feel free to email me at walkerbachman@gmail.com and I will be glad to help you out if I can.
    Walker Bachman, CPC, CPPM

  3. #3


    Here is a link to my favorite quick guide for ASC stim billing-


    The web address for their Q&A and their CMS documentation guide- all are downloadable to PDF -


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