How To Use CPT Code 63663

CPT 63663 describes the revision and replacement of a previously placed permanent percutaneous electrode array for spinal cord stimulation. 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 63663?

CPT 63663 can be used to describe the revision and replacement of a previously placed permanent percutaneous electrode array for spinal cord stimulation. This code is used when the provider needs to improve the effectiveness of the unit by correcting electrode movement or addressing a component malfunction.

2. Official Description

The official description of CPT code 63663 is: ‘Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed.’

3. Procedure

1. The provider carefully revises a previously placed permanent percutaneous neurostimulator electrode array or replaces it with the same type of array.
2. The provider makes an incision at the site of the previously implanted stimulator array and dissects the tissue down to expose the lead.
3. Using fluoroscopy, the provider advances a hollow needle with a slightly curved tip into the epidural space and confirms its location.
4. The provider tests the existing electrodes or guides a new percutaneous electrode array through the needle for testing.
5. The provider adjusts the electrode locations until the desired effect is achieved.
6. The provider anchors the leads to the fibrous tissue and attaches them to the existing neurostimulator pulse generator or receiver.
7. The provider closes the spinal incision in layers and covers it with sterile dressings.

4. Qualifying circumstances

Patients eligible for CPT 63663 are those who have previously had a permanent percutaneous electrode array placed for spinal cord stimulation. The revision or replacement is done to improve the effectiveness of the unit by correcting electrode movement or addressing a component malfunction.

5. When to use CPT code 63663

CPT code 63663 should be used when the provider needs to revise or replace a previously placed permanent percutaneous electrode array for spinal cord stimulation. It should not be reported in conjunction with CPT codes 63661 or 63662 for the same spinal level.

6. Documentation requirements

To support a claim for CPT 63663, the provider must document the following information:

• Reason for the revision or replacement of the electrode array
• Details of the surgical approach and spinal level
• Confirmation of the electrode location using fluoroscopy
• Testing of the electrodes and adjustments made
• Attachment of the leads to the existing pulse generator or receiver
• Closure of the spinal incision and dressing application

7. Billing guidelines

When billing for CPT 63663, ensure that the revision or replacement is performed by a qualified provider. It should be reported separately and not in conjunction with CPT codes 63661 or 63662 for the same spinal level. Additional tips for reporting CPT 63663 may be available based on specific payer guidelines.

8. Historical information

CPT 63663 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 revises a previously placed permanent percutaneous electrode array for spinal cord stimulation due to electrode movement, ensuring optimal effectiveness of the unit.
2. A patient experiences a component malfunction in their spinal neurostimulator electrode array, and the provider replaces it with a new array of the same type.
3. The provider corrects electrode positioning in a previously placed permanent percutaneous electrode array to improve the patient’s response to spinal cord stimulation.
4. A patient’s existing spinal neurostimulator electrode array needs to be replaced due to wear and tear, and the provider performs the revision procedure.
5. The provider revises a previously placed permanent percutaneous electrode array for spinal cord stimulation to address a malfunctioning component, restoring the effectiveness of the unit.
6. A patient’s spinal neurostimulator electrode array requires revision to optimize pain management and provide better relief.
7. The provider replaces a previously placed permanent percutaneous electrode array for spinal cord stimulation to address electrode movement, ensuring consistent pain relief for the patient.
8. A patient’s spinal neurostimulator electrode array needs to be revised to improve the coverage of pain relief and enhance their overall quality of life.
9. The provider performs a revision procedure on a previously placed permanent percutaneous electrode array for spinal cord stimulation to address a malfunctioning component, restoring the patient’s pain management capabilities.
10. A patient’s existing spinal neurostimulator electrode array requires replacement to address electrode migration and maintain optimal pain relief.