2025 CPT code 63688
(Revised) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Spine and Spinal Cord Surgery Feed
Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array.
Modifiers may be applicable depending on specific circumstances of the procedure.
Medical necessity must be established for this procedure, typically including documentation of intractable pain, failed conservative treatment, and a successful trial of spinal cord stimulation.
The physician is responsible for the surgical procedure, including incision, revision or removal of the device, ensuring proper placement and function of the system, wound closure, and post-operative care.
In simple words: This procedure involves either fixing or taking out the part of a spinal cord stimulator that generates electrical pulses. This is for systems where the pulse generator can be detached from the electrodes.The generator may need adjusting if it's not working correctly, or it may be removed entirely if it's no longer needed.
This code refers to the surgical procedure involving the revision or removal of an implanted spinal neurostimulator pulse generator or receiver. This applies to systems where the electrode array and the pulse generator/receiver have a detachable connection.If the procedure involves electronic analysis with programming of the spinal cord neurostimulator, codes 95970, 95971, or 95972 should be considered. For revision or removal of a spinal percutaneous electrode array and integrated neurostimulator, use 0785T. For revision or removal of a sacral percutaneous electrode array and integrated neurostimulator, use 0787T.
Example 1: A patient with a spinal cord stimulator experiences waning benefit and requests removal of the pulse generator., A patient's spinal cord stimulator pulse generator malfunctions and requires revision to address the issue and ensure proper function., A patient experiences complications due to the placement of the pulse generator and requires revision to reposition the device.
Documentation should include the medical necessity for the procedure, the type of neurostimulator system, operative details, including any complications, and confirmation of the system's functionality after revision.
** Test stimulation to confirm correct target site placement and functional status of the system is inherent to the procedure and not reported separately.
- Revenue Code: P1G - MAJOR PROCEDURE - OTHER
- RVU: Refer to current fee schedules for RVU values.
- Specialties:Neurosurgery, Pain Management
- Place of Service:Ambulatory Surgical Center, Hospital - Inpatient, Hospital - Outpatient