kkubisz
New
what is the best way to code for these? units? electrodes (8 units) or leads (1 unit each)..also, do we use a 59 or 51 for 2 leads?
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Wiki Neurostimulator electrodes
- Thread starter kkubisz
- Start date
Walker22
Guest
For commercial insurances they are billed per electrode. If you put in 2 leads with 8 electrodes each, you would bill 16 units of L8680 in addition to 63650. Medicare is different. They build the payment for the leads into the payment for 63650. If you put in two leads you bill 63650x2.
ciphermed
Guru
http://professional.medtronic.com/i...mulation/coverage-and-reimbursement/index.htm
Medtronic offers some neurostimulator reimbursement information...try the link above
Hope this helps,
Medtronic offers some neurostimulator reimbursement information...try the link above
Hope this helps,
hgolfos
Guru
if you're billing for the placement of the leads as in Walker22's reply 63650 X2 you need a 51 mod on the second lead.
brockorama01
Guest
Warning:
Walker's reply is not completely correct. I work with multiple pain clinics in Michigan and Indiana who routinely (around 100 per year combined) perform stim trials in an office setting.
All payers pay the L8660 lead code for 8 or 16 contacts. The only time the leads are bundled are if it is performed in an outpatient setting.
Brock Berta, CPC
Walker's reply is not completely correct. I work with multiple pain clinics in Michigan and Indiana who routinely (around 100 per year combined) perform stim trials in an office setting.
All payers pay the L8660 lead code for 8 or 16 contacts. The only time the leads are bundled are if it is performed in an outpatient setting.
Brock Berta, CPC