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2025 HCPCS code C1767

Nonrechargeable neurostimulator generator; used to treat neurological conditions such as Parkinson's disease, tremors, or dystonia.

Follow all applicable HCPCS coding guidelines and Medicare's OPPS rules regarding device-intensive procedures.Accurate coding requires documentation reflecting the device's use in conjunction with a specific surgical procedure.Ensure consistent use of modifiers as needed to specify circumstances.

Modifiers may be necessary to indicate the type of service or circumstances surrounding the use of the generator (e.g., bilateral implant). Consult current modifier guidelines.

The implantation of a neurostimulator is medically necessary when conservative treatment options have failed to provide adequate relief for debilitating neurological symptoms. The severity of the symptoms must be documented, including the impact on daily life and functional abilities.Medical necessity is usually supported by thorough clinical documentation of the patient's symptoms, the failure of prior treatment attempts, and the potential benefits of deep brain stimulation in improving the patient's quality of life.

Neurologist, neurosurgeon, or other qualified physician implants the device and manages the patient's care. Post-operative monitoring and potential device replacement are also part of clinical responsibilities.

IMPORTANT:C1820 (rechargeable neurostimulator generator)

In simple words: This code covers a battery-powered device implanted under the skin to help manage conditions like Parkinson's disease, tremors, or dystonia. The device sends electrical signals to the brain to ease symptoms. The battery is not rechargeable and needs replacing after it runs out.

This HCPCS code, C1767, represents a nonrechargeable neurostimulator generator.A neurostimulator is an implantable device that delivers electrical impulses to stimulate nerves, often to alleviate symptoms related to neurological disorders.The generator is typically placed subcutaneously, often below the clavicle or in the abdomen. It transmits signals to electrodes that target affected brain regions.The battery is non-rechargeable and has a long lifespan, necessitating removal after depletion.Medicare guidelines mandate submission of this code along with related CPT codes for procedures where it is used, particularly within the Outpatient Prospective Payment System (OPPS).

Example 1: A 68-year-old patient with Parkinson's disease experiences debilitating tremors affecting their daily life.A neurosurgeon implants a C1767 generator with electrodes targeting the subthalamic nucleus to reduce tremor severity., A 55-year-old patient with cervical dystonia suffers from severe neck spasms. A neurologist implants a C1767 generator with electrodes strategically placed to improve muscle control and reduce pain., A 72-year-old patient with essential tremor experiences significant hand tremors interfering with their ability to perform fine motor tasks. A neurosurgeon performs deep brain stimulation surgery and implants a C1767 neurostimulator generator to minimize tremor severity and improve function.

* Pre-operative evaluation including neurological examination and imaging (e.g., MRI, CT scan)* Operative report detailing the procedure, electrode placement, and device implantation* Post-operative neurological assessment and monitoring* Documentation of patient response to therapy and any adverse effects* Evidence of medical necessity for the device, including the severity of symptoms and unsuccessful conservative treatment options.

** This code is for a non-rechargeable device.For rechargeable generators, use code C1820. While the pass-through payment status has expired for this code, it is still crucial for reporting with device-intensive procedures under OPPS, to meet Medicare requirements. Failure to report this code when required could result in claim denial.

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