*This response is based on the best information available as of 12/19/19. The following codes have been deleted from the ICD-10 That DO NOT Support Medical Necessity grouping: F32.8 and F34.8. This advice actually applies to spinal cord stimulator and vagus nerve stimulator battery replacement. The following ICD-10 code has been deleted and therefore removed from the LCD In Group 2: M50.12. The primary diagnosis is the patient’s condition that warranted the neurostimulator. You could also report Z45.49 (Encounter for adjustment and management of other implanted nervous system device) as a secondary diagnosis code but it would not be the primary diagnosis. It is expected that a battery will last only so long so replacing it is not considered a “complication” when replacement is needed. 63650 Percutaneous implantation of neurostimulator electrode array, epidural not covered for dorsal root ganglion stimulation not covered for dorsal column stimulation 63655 Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural. We recommend using the original diagnosis for why the deep brain stimulator was placed in the first place (e.g., Parkinson’s). The CPT codes for spinal cord stimulation include. neurostimulator Presence of spinal cord neurostimulator Presence of vagus nerve neurostimulator. I have gotten mixed responses previously whether or not to bill “mechanical complication” vs “encounter for adjustment”.
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