2025 CPT code 63661
(Active) Effective Date: N/A Revision Date: N/A Surgery - Neurostimulators (Spinal) Procedures Surgical Procedures on the Nervous System Feed
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy when performed.
Modifiers may be applicable depending on the circumstances of the procedure. For example, modifier 51 might be used if multiple arrays are removed during the same session.Consult CPT guidelines and payer-specific rules for modifier usage.
Medical necessity for removal of a spinal neurostimulator electrode array may include infection, device malfunction, failure to provide adequate pain relief, patient request, or migration of the array.Documentation must clearly support the medical necessity for removal.
The neurosurgeon or other qualified physician performs the procedure.Responsibilities include pre-operative evaluation, surgical removal of the array, and post-operative care.Use of fluoroscopy may be the responsibility of a radiology technician under the supervision of the physician.
In simple words: This code covers the removal of a spinal cord stimulator's electrode wires (arrays) that were placed through small incisions in the skin.A special type of X-ray (fluoroscopy) might be used to guide the procedure. The doctor will remove the wires and close the incisions.
This CPT code describes the surgical removal of one or more percutaneous spinal neurostimulator electrode arrays.The procedure may involve the use of fluoroscopy for guidance.It includes disconnecting the array(s) from the pulse generator, removing any anchors securing the device, and closing the incision site.The code encompasses removal of arrays placed via a minimally invasive percutaneous approach.
Example 1: A patient with chronic back pain who underwent percutaneous spinal cord stimulation three years ago experiences worsening pain and requests removal of the implanted electrode array due to discomfort., A patient with a spinal cord stimulator experiences infection at the implant site requiring removal of the infected electrode array to prevent further complications.Fluoroscopic guidance is utilized during the procedure., A patient who initially benefited from spinal cord stimulation but later opts for alternative pain management strategies requests removal of the percutaneous electrode array.
Pre-operative evaluation notes, including indication for removal, informed consent, surgical notes detailing the procedure (including fluoroscopy use if applicable), post-operative notes, and pathology reports (if applicable).
** This code only applies to percutaneous arrays. For arrays placed via open surgery, code 63662 is appropriate.Always review payer specific guidelines and NCCI edits before billing.
- Revenue Code: May vary depending on payer and facility.Examples include surgical revenue codes.
- RVU: The RVUs for this code will vary based on geographic location and other factors. Consult the CMS website or a medical billing resource for the most up-to-date information.
- Global Days: This is typically a short procedure with no significant global period.
- Payment Status: Active
- Modifier TC rule: No TC modifier is applicable as this code is a complete procedure.
- Fee Schedule: Fee schedules vary based on payer and location. Consult fee schedules from relevant payers.
- Specialties:Neurosurgery, Pain Management
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgery Center