Wiki Percutaneous implantation of neurostimulator - Help

[bealdana]

Please help!!

I'm new to pain management billing. We are currently billing for Neurostimulators and there is a drastic decrease in reimbursement in the professional component.

1.63650 IMPLANT NEUROELECTRODES.
2.63650 - 59 IMPLANT NEUROELECTRODES.
3.95972 ANALYZE NEUROSTIM, COMPLEX ELECTRONIC ANALYSIS, IMPLANT NEUROSTIMULATOR; COMPLEX PULSE
GENERAT/TRANSMIT W/INTRAOP/SUBSEQ,1ST HR.

My first question is;

Is this being billed properly? Are my codes correct?

Is there a reduction in reimbursement when billing 63650 - 59 for 2+ leads?

Thanks in advance!!
beabee

 

[Esther04]

hello your codes are correct.. with medicare as of last year they bundled the code for the contacts L8680x16 that is why reimbursement dropped drastically for these procedures.. however, most commercial/private insurances still reimburse for this L-code. My Medicare jurisdiction Noridian will not allow you to code for this with the lead code 63650 hope that helps.