CPT^® 64585, Under Neurostimulator Procedures on the Peripheral Nerves

The Current Procedural Terminology (CPT^®) code 64585 as maintained by American Medical Association, is a medical procedural code under the range - Neurostimulator Procedures on the Peripheral Nerves.

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Summary

The provider revises or removes a neurostimulator electrode array on a peripheral nerve, the portion of the nervous system lying outside the brain and spinal cord. This service is generally done for a neurostimulator component malfunction or because the patient develops an infection related to neurostimulator placement.

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coding 64585 within the 10 day global period

We bill 64561 for the percutaneous implantion of an electrode array. The patient always comes back to have it removed, as it is temporary, during the 10 day global period. According to AUGS, this is ... [ Read More ]

Removal of InterStim leads and generator

I am with 64585... [ Read More ]

64585 Removal of peripheral neurostimulator electrode array

Is this billable by a nurse with a nurse visit when the trial leads are just pulled and removed? That's what my office is doing and I don't think that's correct. Thanks!... [ Read More ]

Peripheral Stimulator switched to Spinal Cord Stimulator

It appears it is correct but one thing to consider is according to AMA CPT Assistant April 2011, they state: "Code 63685 includes the creation of a subcutaneous pocket made to house the stimulator and... [ Read More ]

Peripheral Stimulator switched to Spinal Cord Stimulator

I have a patient the doctor placed a peripheral stimulator previously and is not switching to a spinal cord stimulator. The generator from the old stimulator was removed & a new pocket was created for... [ Read More ]

ICD-10 Code - PNS Explant along with SCS Implant

Bumping this question by adding another question: So when trying to link T85.111A with 64595 and 64585, 64585 links it as an ICD-10 that is medically necessary, but not for 64595. The CodeCorrect is ... [ Read More ]

ICD-10 Code - PNS Explant along with SCS Implant

A procedure was performed in which originally it was for a SCS implant. However, the provider removed the PNS to make room for that SCS implant, even used a previous PNS IPG pocket for the new implant... [ Read More ]

ROSA robotic use/billing

Good Morning, My neurosurgeon has been using the ROSA robot for placment and removal of depth electrodes for dx of epilepsy. I am being questioned about the coding and wanting to run this past anyone... [ Read More ]

Interstim removal

If a patient is having an interstim removal, do we use 64595 (revision/removal of peripheral neurostimulator pulse generator or receiver) plus 64585 (revision or removal of peripheral neurostimulator ... [ Read More ]

L8679 - nerve stimulator

[b]Update[/b] I bill for a doctor who performs the Stivax neurostimulator and the codes I was told to bill were L8679 for Medicare patients initial visit and L8680/L8686 for commercial carriers. Then... [ Read More ]

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