Below states fluroscopy is not separately reportable with 63661 from January 2010 AMA CPT Assistant.
"CPT codes 63661-63664 distinguish the work involved in the revision or removal of percutaneous electrodes in comparison to the revision or the removal of a plate/paddle electrode array placed via laminotomy or laminectomy. These procedures may be performed with the assistance of fluoroscopic guidance, which is considered an inclusive component and not separately reported. However, fluoroscopic guidance is not always required to perform these procedures, the phrase â€śwhen performedâ€ť is in the descriptors of codes 63661-63664. Revision, including replacement code 63664, is not reported in conjunction with removal codes 63661 and 63662, when performed for the same spinal level (cervical, thoracic, lumbar, and sacral)."
In the descriptor it states "including fluorscopy" similiar to the term "with image guidance" indicates that fluoroscopy is not separately reportable.
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed
Below is the lay description from encoder, it does not describe the removal of scar tissue from the leads another option instead of reporting 11042 is 63661 with the 22 modifier if it was indicated in the procedure note that there was increase work involved than what is normal felt required to remove the leads and payer can determine additional payment. I have never seen 11042 as a suggestion for removal of scar tissue, so I am not aware of the stance on if removal of scar tissue is consider inherent to reporting 63661 or not.
"The physician removes spinal neurostimulator electrode percutaneous arrays (63661) or spinal neurostimulator plates or paddles that were placed via laminotomy or laminectomy (62662). The patient is face down (prone). The physician makes a midline incision overlying the affected vertebrae. The fascia is incised. The paravertebral muscles are retracted. The physician removes the electrode plates or paddles in the epidural space proximate to the spine segment. Stimulation is applied. These codes include the use of fluoroscopic guidance, when performed"
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