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Revised Interstim codes 64561

  1. #1
    Location
    Kansas City, MO
    Posts
    37
    Default Revised Interstim codes 64561
    Medical Coding Books
    In the past our doctors have billed 64561-LT and 64561-RT for the testing phase. The revised wording for 2012, "electrode array" is causing some confusion. We are using 2 leads but only one temporary generator (one setting for both leads). As of Jan 1, 2012, should we only be billing one 64561? I am thinking that now the 2 leads are considered an array since they are not individually controlled...?
    Karen Cross, CPC, CPMA, CEMC, CUC

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by KCROSS View Post
    In the past our doctors have billed 64561-LT and 64561-RT for the testing phase. The revised wording for 2012, "electrode array" is causing some confusion. We are using 2 leads but only one temporary generator (one setting for both leads). As of Jan 1, 2012, should we only be billing one 64561? I am thinking that now the 2 leads are considered an array since they are not individually controlled...?
    This is what is stated under Coding Tips for 64561 in Encoder Pro:

    "These codes have been revised for 2012 in the official CPT description. These procedures report percutaneous placement of neurostimulator electrodes only. Incision and subcutaneous placement of a neurostimulator pulse generator or receiver is reported separately. For open placement of a cranial neurostimulator pulse generator or receiver, see 61885-61886. For open placement of a peripheral neurostimulator pulse generator, see 64590. For revision or removal of peripheral neurostimulator electrodes, see 64585. For incisional implantation of neurostimulator electrodes, see 64575-64580. For implantation of trial or permanent electrode arrays or pulse generators for peripheral subcutaneous field stimulation, see 0282T-0284T."
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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