Surgery: Nervous System (Q&A) (January 2015)

January 2015 page 14 Surgery: Nervous System Question: What is the appropriate code to report for neurostimulator implantation and placement of leads over a peripheral nerve in the head for treatment of migraines? Answer: It would be appropriate to report code 64555, Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve), for the lead placement. Insertion of the neurostimulator pulse generator would be reported with code 64590, Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver, direct or inductive coupling.♦ Surgery: Nervous System (Q&A) (January 2015). CPT® Assistant. 2015; January 2015 page...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This January 2015 CPT Assistant Q&A article explains a coding question in nervous system surgery focused on neurostimulator implantation and lead placement for a migraine-related procedure. It is useful for coders, billing staff, and clinical documentation teams who work with neuromodulation procedures and want to understand the article’s scope before reading the full guidance.

Why This Topic Matters

Articles like this help coders identify the relevant CPT reporting approach for a specific neurosurgical or pain-management procedure scenario and distinguish between related components of the service.

What You Will Learn

  • How the article frames a neurostimulator implantation coding question
  • What procedural components are discussed in the Q&A
  • Which CPT coding topics are addressed for this type of nervous system surgery service
  • How the article’s guidance is organized for a single clinical scenario

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing specialists
  • Neurosurgery staff
  • Pain management practices

Codes Discussed


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