CPT^® 61886, Under Neurostimulators (Intracranial) Procedures on the Skull, Meninges, and Brain

The Current Procedural Terminology (CPT^®) code 61886 as maintained by American Medical Association, is a medical procedural code under the range - Neurostimulators (Intracranial) Procedures on the Skull, Meninges, and Brain.

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Summary

The provider makes an incision and implants or replaces a direct or inductive cranial pulse generator or receiver in a subcutaneous pocket for connection to two or more electrode arrays, often one on each side of the brain. This service is generally done to treat Parkinson’s disease, tremors, or multiple sclerosis. The provider may replace the pulse generator or receiver due to a component malfunction.

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insertion or replacement of cranial neurostimulator pulse

61886 is for the placement of a pulse generator - as you're describing it, if it was done bilaterally, then two pulse generators were placed, one on each side. Is that correct, or is it one generator... [ Read More ]

insertion or replacement of cranial neurostimulator pulse

I have two questions: This is Humana insurance 1.) 61886 - insertion or replacement of cranial neurostimularor pulse with connection to 2 or more electrode arrays - Provider did bilateral - modifier 5... [ Read More ]

IPG replacement with change of pocket site

63685 Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling 63688 Revision or removal of implanted spinal neurostimulator pulse generator ... [ Read More ]

Dbs

[b]Update - dbs[/b] Now that the procedure has been done and PAID - I wanted to let others know how I coded this in case someone else has the same questions: Stage 1 - Fiducials So for tracking pur... [ Read More ]

CPT codes to use for SCS Revision

In order to report CPT 95972, the provider would have to document that he personally performed the reprogramming and which parameters were reprogrammed. For CPT 95971, this would include 3 or fewer pa... [ Read More ]

PNS Help!

When you state PNS, does this stand for peripheral nerve stimulation or peripheral subcutaneous field stimulation. If so this would not fall under 63685 since 63685 is for a dorsal column stimulator/... [ Read More ]

Spinal Cord Stimulator Revision

As seen below, if a previously placed percutaneous/permanent lead (63650) is being replaced, the correct CPT code is 63663. If 2 leads are being replaced, due to CPT 63663 plural descriptor array(s), ... [ Read More ]

Removal Stimulator Generator/receiver

15. CPT codes 61885, 61886, and 63685 describe “insertion or replacement” of cranial or spinal neurostimulator pulse generators or receivers. CPT codes 61888 and 63688 describe “revision or remo... [ Read More ]

Vagal Nerve Stimulator- replacement of pulse generator

I don't have much experience with these, so I hope someone out here does. I have received 2 different answers. One coder states this should be billed as 61885 64569 -51 dx. V53.09 T... [ Read More ]

Revised Interstim codes 64561

[QUOTE="KCROSS, post: 196479, member: 610"]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. ... [ Read More ]

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