Wiki Laminotomy and implant of dorsal column spinal cord stimulator

[icys@aol.com]

Pre op dx: Chronic low back pain status for trial with temporary spinal cord stimulator
post op dx: Same as pre op dx

procedures:
1. Laminotomy t8, t9
2.placement or implant of dorsal column spinal cord stimulator
3.implant of the battery packet in the right flank

can you please advice which codes to choose.

 

[marvelh]

63655 for the epidural neurostimulator plate / paddle

63685 for implantation of the neurostimulator generator

 

[icys@aol.com]

Quiestion about laminotomy

Since laminotomy t8,t9 are done do i use two units or one.. Or any modifier????

Please advice..
Thanks

 

[dms979]

63655 billed once it covers the T8-T9 area

(there is a coding tip on Karen Zupkos page about this)

http://karenzupko.com/resources/codingcoach/cc_neuroarchive_2014.html
sorry, I couldn't get it to highlight

63685 add the 51 modifier and either LT or RT

Hope this helps