Urology Coding Alert

Reader Questions:

Pinpoint Right Code for InterStim® Procedure

Question: I am still new to urology coding. How would you code an InterStim® lead and generator removal and replacement with an incision approach?

AAPC Forum Member

Answer: You should report the following codes on your claim:

  • 64581 (Incision for implantation of neurostimulator electrode array; sacral nerve (transforaminal placement))
  • 64590 (Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver, direct or inductive coupling)

Don’t miss: You should never report 64590 in conjunction with 64595 (Revision or removal of peripheral or gastric neurostimulator pulse generator or receiver), according to the CPT® guidelines.