How To Use CPT Code 63662

CPT 63662 describes the removal of spinal neurostimulator electrode plates or paddles that were previously placed through laminotomy or laminectomy. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 63662?

CPT 63662 is used to describe the removal of spinal neurostimulator electrode plates or paddles that were previously placed through laminotomy or laminectomy. This procedure involves the provider making a new incision in the same area as the original incision, identifying the site of the incision over a vertebral segment, and removing the neurostimulator electrode plates or paddles. Fluoroscopy may be used to guide the procedure.

2. Official Description

The official description of CPT code 63662 is: ‘Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed.’

3. Procedure

1. The provider identifies the site of the original incision over a vertebral segment.
2. A new incision is made in the same area as the original incision.
3. Any adhesions are incised, and the paravertebral muscles, fascia, and ligaments are retracted to gain access to the neurostimulator electrode plates or paddles.
4. The provider removes the neurostimulator electrode plates or paddles.
5. The wound is closed by suturing the skin layers together.
6. Fluoroscopy may be used to guide the procedure.

4. Qualifying circumstances

CPT 63662 is performed when the patient has previously had spinal neurostimulator electrode plates or paddles placed through laminotomy or laminectomy. The procedure is typically performed to remove either the entire lamina or part of the lamina. The provider may use fluoroscopy to guide the procedure.

5. When to use CPT code 63662

CPT code 63662 should be used when the provider is removing spinal neurostimulator electrode plates or paddles that were previously placed through laminotomy or laminectomy. It is important to note that this code should not be used when the provider is performing a removal and replacement of the neurostimulator electrode plate/paddle. In that case, CPT code 63664 should be used.

6. Documentation requirements

To support a claim for CPT 63662, the provider must document the following information:

• Site of the original incision over a vertebral segment
• Details of the new incision made in the same area
• Description of any adhesions incised and the retraction of paravertebral muscles, fascia, and ligaments
• Confirmation of the removal of the neurostimulator electrode plates or paddles
• Method used to close the wound
• Use of fluoroscopy, if applicable

7. Billing guidelines

When billing for CPT 63662, ensure that the procedure involves the removal of spinal neurostimulator electrode plates or paddles placed through laminotomy or laminectomy. Fluoroscopy should be included in the billing if it was performed. It is important to note that CPT code 63662 should not be reported with CPT codes 63666 to 63668 if those codes have already been performed in the previous seven days. Additionally, if the provider is performing a removal and replacement of the neurostimulator electrode plate/paddle, CPT code 63664 should be used instead.

8. Historical information

CPT 63662 was added to the Current Procedural Terminology system on January 1, 2010. There have been no updates to the code since its addition.

9. Examples

1. A provider removes spinal neurostimulator electrode plates that were previously placed through laminotomy for a patient with chronic back pain.
2. A patient undergoes the removal of spinal neurostimulator paddle leads that were previously placed through laminectomy to manage their neuropathic leg pain.
3. A provider removes spinal neurostimulator electrode plates that were previously placed through laminotomy to address a patient’s failed back surgery syndrome.
4. A patient undergoes the removal of spinal neurostimulator paddle leads that were previously placed through laminectomy to manage their chronic leg and foot pain.
5. A provider removes spinal neurostimulator electrode plates that were previously placed through laminotomy to address a patient’s complex regional pain syndrome.
6. A patient undergoes the removal of spinal neurostimulator paddle leads that were previously placed through laminectomy to manage their chronic arm and hand pain.
7. A provider removes spinal neurostimulator electrode plates that were previously placed through laminotomy to address a patient’s post-laminectomy syndrome.
8. A patient undergoes the removal of spinal neurostimulator paddle leads that were previously placed through laminectomy to manage their chronic neck and shoulder pain.
9. A provider removes spinal neurostimulator electrode plates that were previously placed through laminotomy to address a patient’s failed back surgery syndrome.
10. A patient undergoes the removal of spinal neurostimulator paddle leads that were previously placed through laminectomy to manage their chronic leg and foot pain.