2025 CPT code 61863

Stereotactic implantation of neurostimulator electrode array in a subcortical site (e.g., thalamus, globus pallidus) without intraoperative microelectrode recording; first array.

Use 61864 for each additional array implanted during the same session. Do not report separately for test stimulation or microelectrode recording performed by the operating surgeon. If neurophysiological mapping is performed by another individual, it may be reported separately (95961-95962).

Modifiers may be applicable, refer to current guidelines

Medical necessity must be established based on the patient's diagnosis, severity of symptoms, failed response to conservative treatments, and potential benefit from the procedure.

The surgeon plans and performs the procedure, including patient positioning, imaging, target identification, incision, electrode placement, testing, and wound closure.

In simple words: A procedure to implant a device in the brain to stimulate specific areas.It's used to treat movement disorders. The doctor uses special imaging to precisely target the area and a small hole is made in the skull to insert the device.

This procedure involves using a stereotactic method to implant a neurostimulator electrode array in a subcortical site of the brain.It may involve a twist drill, burr hole, craniotomy, or craniectomy to access the target area.Intraoperative microelectrode recording is not used.

Example 1: A patient with Parkinson's disease undergoes stereotactic implantation of a neurostimulator electrode array in the subthalamic nucleus to control tremors., A patient with dystonia undergoes implantation of a neurostimulator electrode array in the globus pallidus to reduce involuntary muscle contractions., A patient with essential tremor undergoes stereotactic implantation of a neurostimulator electrode array in the thalamus to alleviate tremors.

Documentation should include pre-operative imaging, operative report detailing the procedure, including target site and electrode placement confirmation, and post-operative progress notes.

** Deep brain stimulation for epilepsy is considered investigational and not routinely covered by insurance.

  • RVU: Refer to current fee schedule
  • Global Days : Refer to current fee schedule
  • Payment Status: Refer to payer guidelines
  • Modifier TC rule: Refer to current guidelines
  • Specialties:Neurosurgery, Functional Neurosurgery
  • Place of Service:Inpatient Hospital, Ambulatory Surgical Center
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