63650
Percutaneous Spinal Cord Neurostimulator Electrode Implantation
Code Description
CPT code 63650 is used to report the percutaneous implantation of a spinal cord neurostimulator electrode array. During the procedure, one or more electrodes are positioned within the epidural space to deliver electrical stimulation for chronic pain management.
The procedure is commonly performed as part of spinal cord stimulation therapy for patients with chronic neuropathic pain that has not responded to conservative treatment.
When to Use 63650
Common examples include:
chronic neuropathic pain
failed back surgery syndrome
complex regional pain syndrome
chronic leg pain
refractory spinal pain
Documentation Requirements
Documentation should include:
diagnosis
electrode placement location
implantation technique
imaging guidance
patient tolerance
Common Billing Mistakes
Common billing mistakes include:
incorrect neurostimulator code selection
insufficient operative documentation
failure to document electrode placement
incomplete procedural reports
missing medical necessity
Related CPT Codes
63655
Laminectomy for Neurostimulator Electrode Placement
63685
Neurostimulator Pulse Generator Implantation
64590
Neurostimulator Generator Replacement
FAQ
What is a spinal cord stimulator?
A spinal cord stimulator delivers mild electrical impulses to help reduce chronic pain.
When is spinal cord stimulation considered?
It is typically considered after conservative treatments have failed to adequately control chronic pain.
Is CPT 63650 a permanent implant?
Not always. It may be used for trial electrode placement before permanent implantation.
What conditions are commonly treated with spinal cord stimulation?
Failed back surgery syndrome, complex regional pain syndrome, and chronic neuropathic pain are common indications.
Procedure Type
Neurostimulator Implantation
Body Area
Technique
Spinal Cord
