Neurology & Pain Management Coding Alert

CPT® 2024:

Neurostimulator Insertions Highlight New Codes

CPT® also updated this revision/removal code.

CPT® has released its list of new, revised, and deleted codes for CPT® 2024, and your practice will need to take note of a few changes coming to the code book.

The basics: The new additions will update several code sets in CPT®, making it clear what code to choose for these services.

In order to use the new codes correctly, however, you’ll need to get to know them. Read on for more information on the codes you’ll need to start using on January 1, 2024.

Device Insertion Codes Get a Bump

CPT® 2024 will premiere these new codes:

  • 61889 (Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or cortical strip electrode array(s))
  • 61891 (Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s))
  • 61892 (Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed)
  • 64596 (Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array)
  • 64597 (Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; each additional electrode array (List separately in addition to code for primary procedure))
  • 64598 (Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator)

Analysis: The addition of 61889 through 61892 will make the intracranial neurostimulator set — codes 61850 (Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical) through 61888 (Revision or removal of cranial neurostimulator pulse generator or receiver) — more robust.

Likewise, adding 64596 through 64598 will broaden the code set for peripheral nerve neurostimulators, which is currently 64553 (Percutaneous implantation of neurostimulator electrode array; cranial nerve) through 64595 (Revision or removal of peripheral or gastric neurostimulator pulse generator or receiver).

Mark These 2 Revisions

There will also be two CPT® code revisions relevant to coders in 2024. Here’s a look at these codes:

(What’s being deleted is underlined and struck through; what’s being added is underlined and in bold.)

  • Current descriptor: 63685 (Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling)
  • Revised descriptor: 63685 (Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver)
  • Current descriptor: 63685 (Revision or removal of implanted spinal neurostimulator pulse generator or receiver)
  • Revised descriptor: 63688 (Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array).

 


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