Intracranial Neurostimulators (June 2000)

Why This Topic Matters

Deep brain stimulation procedures were changing rapidly at the time, and the article helps readers understand how the CPT updates were intended to better match current clinical practice and newer target sites. It also highlights the relationship between the primary implantation services and other reportable stereotactic or mapping services.

Article Sections

1. Coding Communication

   Introduces the coding update topic and the general context for intracranial neurostimulator reporting. It frames the discussion as a communication about CPT changes and evolving deep brain stimulation practice.

2. CPT Code 61862

   Discusses the updated deep brain stimulation implantation category and the clinical and technical context behind the revision. It also notes related stereotactic planning considerations and the broader set of target sites addressed by the update.

3. Clinical Vignette for 61862

   Presents a procedural example illustrating the type of intracranial neurostimulator implantation service addressed by the revised CPT guidance. The vignette follows the workflow from preoperative planning through lead placement.

4. CPT Codes 61885 and 61886

   Reviews the revised generator or receiver placement categories for cranial neurostimulator systems and the distinction between single-array and multi-array reporting. It also describes the related context of tunneling, connection, and long-term stimulation setup.

5. Clinical Vignette for 61885

   Provides an example of cranial neurostimulator generator or receiver placement and connection involving a single electrode array. The vignette shows the sequence of access, connection, and closure steps.

6. Clinical Vignette for 61886

   Provides an example of cranial neurostimulator generator or receiver placement and connection involving multiple electrode arrays. The vignette shows how the procedure is carried out on both sides and completed with device testing and closure.