Find comprehensive information on Spinal Cord Stimulator diagnosis, including ICD-10 codes, CPT codes, medical billing guidelines, and clinical documentation requirements. Learn about healthcare coverage, spinal cord stimulation therapy, pain management procedures, and implantable neurostimulator devices. This resource provides essential guidance for physicians, coders, and healthcare professionals involved in the diagnosis and management of patients with Spinal Cord Stimulators. Explore relevant medical terminology, post-operative care, and potential complications related to spinal cord stimulation.
Also known as
Presence of spinal cord stimulator
Indicates presence of a spinal cord stimulator implant.
Chronic pain due to presence of spinal cord stimulator
Chronic pain specifically caused by the spinal cord stimulator.
Mechanical complication of spinal cord stimulator
Covers mechanical complications like lead migration or breakage.
Other complications of spinal cord stimulator
Includes other specified complications related to the device.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the encounter for insertion of spinal cord stimulator?
Yes
Trial or permanent?
No
Is it removal or revision?
When to use each related code
Description |
---|
Spinal Cord Stimulator |
Failed Back Surgery Syndrome |
Complex Regional Pain Syndrome |
Inaccurate CPT code selection for percutaneous or surgical lead placement (e.g., 63650, 63655) based on approach and levels.
Confusing temporary trial implantation codes (e.g., 63661) with permanent system implantation codes (e.g., 63685) leading to incorrect billing.
Missing or incorrect application of modifiers (e.g., 50, LT, RT) for bilateral procedures or revisions impacting reimbursement.
Patient presents with chronic intractable pain, specifically [location of pain, e.g., lumbar back pain, cervical radiculopathy], refractory to conservative management including physical therapy, pharmacologic interventions with [list medications, e.g., NSAIDs, opioids, gabapentinoids], and interventional procedures such as [list procedures, e.g., epidural steroid injections, facet joint injections]. The patient reports pain impacting activities of daily living, resulting in functional limitations and decreased quality of life. Symptoms consistent with [specific pain descriptors, e.g., neuropathic pain, radicular pain, axial back pain] are noted. Physical examination reveals [objective findings, e.g., tenderness to palpation, reduced range of motion, sensory deficits, motor weakness]. Imaging studies including [list imaging, e.g., MRI of the lumbar spine, CT myelogram] demonstrate [imaging findings, e.g., spinal stenosis, disc herniation, degenerative disc disease]. Diagnosis of [specific pain diagnosis, e.g., failed back surgery syndrome, complex regional pain syndrome] is established. Considering the patient's persistent pain despite conservative measures, and after a thorough discussion of risks and benefits, a trial of spinal cord stimulation is recommended for potential pain relief and improved functional capacity. Patient education regarding spinal cord stimulator implantation, programming, and potential complications was provided. Patient verbalized understanding and consented to the procedure. ICD-10 code [relevant ICD-10 code, e.g., G89.28, M54.50] is assigned. CPT codes for trial and permanent implant will be determined based on the specific procedure performed.