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Removal spinal cord stimulator

  1. #1
    Default Removal spinal cord stimulator
    Medical Coding Books
    Surgeon removed generator and all leads during post operative period. He inserted 2 new leads and a new generator. Can i bill 63685 & 63688 together since it was not the same generator? If so what modifier if any?

  2. #2
    Location
    North Carolina
    Posts
    3,126
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    Quote Originally Posted by AWHITACRE View Post
    Surgeon removed generator and all leads during post operative period. He inserted 2 new leads and a new generator. Can i bill 63685 & 63688 together since it was not the same generator? If so what modifier if any?
    CPT instructs you not to report 63685 and 63688 for the same pulse generator/receiver-I assume this was for the same level as before?

    63685 looks ok but you would need to report 63663 or 63664 depending if this was replaced percutaneously or via lamino/laminec.

  3. #3
    Default
    I see that you are not to report 63685 and 63688 for the same pulse generator, however this is a completely new and different generator. Just want to make sure we are reimbursed for everything. Thanks

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    My thought is, if it's the same level, you're not going to report the removal and the replacement; which 63688 (removal) and 63685 (replacement) will be doing.

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