AMA CPT® Assistant - 2013 Issue 10 (October)

Surgery: Nervous System (Q&A) (October 2013)

October 2013 page 19a Surgery: Nervous System Question: When the physician makes an incision and then inserts spinal electrodes (these are not paddle-type electrodes and a laminectomy is not performed), is this procedure still considered a percutaneous approach that is reported with code 63650? Answer: Yes. It would be appropriate to report code 63650, Percutaneous implantation of neurostimulator electrode array, epidural, as the procedure is considered a percutaneous approach. The incision made to secure the lead is part of the procedure also. Making the incision ahead of needle placement is commonly done in obese patients. There is no direct...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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