Lay Descriptions from Ingenix's Encoder
The physician places an electrode percutaneously (through the skin) through an introducer needle into the tissue to be stimulated. Electrodes placed over sensory nerves decrease pain sensation in the distribution of the nerve. Electrodes placed over motor nerves stimulate paralyzed muscles to prevent atrophy.
The physician makes an incision to place the electrode. The physician uses a scalpel to incise the skin and dissects the to the anatomical location. The incision aides the physician in accurately placing and testing the electrode while visualizing results. After stimulating the area, the incision is closed with layered sutures. Electrodes placed over sensory nerves decrease pain sensation in the distribution of the nerve. Electrodes placed over motor nerves stimulate paralyzed muscles to prevent atrophy.
There is a minor surgical incision when placing and securing permanent percutaneous peripheral leads----This does not constitute billing 64575. If the physician performs a lot these procedures. I would send a portion of the procedure note to the AMA CPT Network to see if they feel it meets the intent of 64555 versus 64575. With the lack of published information from the AMA on these codes, the room for interpretation is broad and the cost of the inquiry would be worth it.
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