Forum - Questions & Answers

Oct 13th, 2011 - vascularcoding

Neurostimulator leads removal and placement of new

I am very new to pain management and need help with the electrode replacement.

procedure was thru previous laminotomy and doc removed two previously implanted electrodes (requiring debridement) and the implantation of two new electrodes.

My doc has 63661 x 2 and 63650 x 2 which I know can't be billed together. Can anyone help or advise?

Thank you! Kim

Oct 17th, 2011 - padi1coder 10 

re: Neurostimulator leads removal and placement of new

63663 Revision, including replacement when performed, of spinal neurostimulator
electrode percutaneous array(s), including
fluoroscopy when performed

[would be more appropriate unless performed with laminectomy then]

63664 Revision, including replacement
when performed, of spinal neurostimulator
electrode plate/paddle(s) placed via
laminotomy or laminectomy, including
fluoroscopy when performed



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