2025 CPT code 64590
(Revised) Effective Date: N/A Revision Date: N/A Surgery - Neurostimulator Procedures on the Peripheral Nerves Surgery Feed
Insertion or replacement of a peripheral, sacral, or gastric neurostimulator pulse generator or receiver requiring pocket creation and connection to the electrode array.
Modifiers may apply depending on the circumstances of the service. Consult the CPT® codebook and payer-specific guidelines for appropriate modifier usage.
Medical necessity is established through documentation of a specific diagnosis and failure of conservative treatment options. This will demonstrate that the neurostimulator is a necessary and appropriate treatment for the patient's condition.
The surgeon is responsible for the entire surgical procedure, including incision, pocket creation, lead placement, connection to the pulse generator or receiver, and wound closure.Post-operative care and programming may be handled by other qualified personnel.
- Surgery
- Surgical Procedures on the Nervous System > Surgical Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System > Neurostimulator Procedures on the Peripheral Nerves
In simple words: The doctor puts in or replaces a device that sends electrical signals to nerves to help with pain or other problems.This involves making a small cut to create a space for the device and connecting it to wires that stimulate the nerves.
This CPT code encompasses the insertion or replacement of a peripheral, sacral, or gastric neurostimulator pulse generator or receiver.The procedure necessitates surgical creation of a pocket for implant placement and establishing a connection between the electrode array and the pulse generator or receiver.It involves incising the skin at the implantation site, creating or revising a pocket, connecting the leads from the electrode array to the generator/receiver, and closing the incision. Test stimulations may be performed to verify system functionality.This code is not used with 64595, 64596, 64597, or 64598.
Example 1: A patient with chronic lower back pain undergoes implantation of a peripheral nerve stimulator. Code 64590 is used to report the insertion of the pulse generator., A patient with overactive bladder symptoms has a sacral nerve stimulator implanted.Code 64590 is used to report the insertion of the pulse generator., A patient with gastric motility disorder requires replacement of their existing gastric neurostimulator pulse generator. Code 64590 is used to report the replacement procedure.
** The code describes procedures involving a system with a detachable connection between the electrode array and the pulse generator or receiver.If the system is integrated, codes 64596-64598 should be used instead.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: Data not available from provided text.Consult AMA CPT® codebook or other official sources for RVU information.Note that RVUs are not assigned by the AMA and are not part of CPT®.
- Global Days : The global period varies depending on the context and may be 10 days or 90 days depending on whether it is used alone or in conjunction with other codes (e.g., 64581).Consult payer guidelines.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule : Historical fee schedule data is not provided. Consult your payer's fee schedule for historical information.
- Specialties:Neurosurgery, Pain Management, Urology, Gastroenterology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center