How To Use CPT Code 64585

CPT 64585 describes the revision or removal of a neurostimulator electrode array on a peripheral nerve. 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 64585?

CPT 64585 can be used to describe the revision or removal of a neurostimulator electrode array on a peripheral nerve. This code is used when a healthcare provider needs to make adjustments to the electrode array due to malfunction or to address an infection related to the neurostimulator placement.

2. Official Description

The official description of CPT code 64585 is: ‘Revision or removal of peripheral neurostimulator electrode array.’

3. Procedure

1. The healthcare provider prepares the patient and administers anesthesia.
2. An incision is made through the scar from the original operation over the peripheral neurostimulator electrodes.
3. The provider carefully traces the leads to their anchored electrodes using microsurgical techniques.
4. If a revision is needed, the provider adjusts the electrodes accordingly.
5. If removal is necessary, the provider gently dissects the electrode array from the nerve.
6. The wounds and skin are closed using sutures and/or tissue adhesive.

4. Qualifying circumstances

CPT 64585 is performed when a neurostimulator electrode array on a peripheral nerve needs to be revised or removed. This procedure is typically done in cases of neurostimulator component malfunction or when the patient develops an infection related to the neurostimulator placement.

5. When to use CPT code 64585

CPT code 64585 should be used when a healthcare provider performs the revision or removal of a neurostimulator electrode array on a peripheral nerve. It is important to ensure that the procedure aligns with the specific circumstances that warrant this code.

6. Documentation requirements

To support a claim for CPT 64585, the healthcare provider must document the following information:

• Reason for the revision or removal of the neurostimulator electrode array
• Details of the procedure, including the specific steps taken
• Incision location and closure method
• Any adjustments made to the electrodes (if applicable)
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 64585, ensure that the procedure performed aligns with the code description. It is important to follow the specific guidelines provided by the payer to ensure accurate billing. Additionally, consider any modifiers that may be necessary based on the circumstances of the procedure.

8. Historical information

CPT 64585 was added to the Current Procedural Terminology system on January 1, 1990. The code has not undergone any updates since its addition.

9. Examples

1. A healthcare provider performs a revision of a neurostimulator electrode array on a peripheral nerve due to malfunction.
2. A patient develops an infection related to the neurostimulator placement, and a healthcare provider removes the electrode array.
3. A neurostimulator electrode array on a peripheral nerve needs to be adjusted, and a healthcare provider performs the necessary revision.
4. A healthcare provider removes a neurostimulator electrode array on a peripheral nerve as part of a patient’s treatment plan.
5. A revision of a neurostimulator electrode array on a peripheral nerve is performed to improve the patient’s response to the neurostimulation therapy.
6. A healthcare provider removes a neurostimulator electrode array on a peripheral nerve due to patient preference.
7. A revision of a neurostimulator electrode array on a peripheral nerve is performed to address changes in the patient’s condition.
8. A healthcare provider removes a neurostimulator electrode array on a peripheral nerve to replace it with a new array.
9. A patient experiences discomfort related to the neurostimulator electrode array, and a healthcare provider performs a revision to alleviate the issue.
10. A healthcare provider removes a neurostimulator electrode array on a peripheral nerve as part of the patient’s overall treatment plan.