2025 CPT code 63662
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Neurostimulators (Spinal) Procedures Surgical Procedures on the Nervous System Feed
Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed.
Modifiers may apply depending on the circumstances of the procedure (e.g., 59 for a distinct procedural service, 22 for increased procedural services, 51 for multiple procedures).Consult the CPT modifier guidelines.
Removal of a spinal cord stimulator is medically necessary when the device malfunctions, causes complications (infection, migration), or no longer provides therapeutic benefit to the patient. Documentation should support the reasons for removal.
The neurosurgeon or spine surgeon is primarily responsible for performing the procedure.This includes patient preparation, incision, dissection, electrode removal, and wound closure.Anesthesiology services are also required.
- Surgical Procedures on the Nervous System
- Surgical Procedures on the Nervous System > Neurostimulators (Spinal) Procedures
In simple words: This surgery removes implanted plates or paddles used in spinal cord stimulation.The surgeon makes a small cut, carefully removes the device, and closes the wound. X-ray guidance might be used.
This procedure involves the removal of spinal neurostimulator electrode plates or paddles previously implanted through a laminotomy or laminectomy (surgical procedures that remove part or all of the lamina, a portion of the vertebral arch).The procedure may utilize fluoroscopy for guidance.The surgeon makes an incision at the original site, incises any adhesions, retracts muscles, fascia, and ligaments to access the implanted electrodes, removes the electrodes, and closes the wound with sutures.
Example 1: A patient with chronic back pain who had a spinal cord stimulator implanted two years ago experiences lead migration and requires removal of the electrode array and generator. This is performed via open surgery., A patient with failed back surgery syndrome who underwent a laminectomy for pain relief develops an infection in the stimulator. The infected generator and electrodes are removed via an open surgical approach using fluoroscopy for precise localization., A patient with chronic neuropathic pain has undergone multiple revision surgeries of their spinal cord stimulator, resulting in a tangled and difficult to access electrode configuration. A highly skilled neurosurgeon performs open removal of the complex device.
* Operative report detailing the procedure, including the approach (open vs. percutaneous), difficulties encountered, and implants removed.* Preoperative imaging (X-ray, CT, MRI) showing the location and characteristics of the stimulator.* Intraoperative fluoroscopy images, if used.* Postoperative imaging (X-ray) to confirm complete removal.* Pathology report, if applicable (e.g., for tissue samples taken during surgery).* Patient's medical history and clinical indications for removal.
** The complexity of the removal procedure may be influenced by factors such as the location of the device, the presence of adhesions, previous surgical trauma, and the patient's overall health status.Appropriate documentation of these factors is essential.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- RVU: Information not available in source data. Refer to CMS fee schedules for current RVU values.
- Global Days: Information not available in provided data.The global period would depend on payer-specific policies and local coverage determinations.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier does not apply to this code, as it represents the professional component of the surgical procedure.
- Fee Schedule: Information not available in source data.Refer to historical CMS fee schedules for previous reimbursement rates.
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center