Question

Please use the appropriate CPT codes (there are two required) for the following scenario:

73 year old male with severe Parkinson's disease. To moderate the symptoms and help this patient a decision was made to insert an intracranial neurostimulator. A craniotomy was performed and a neurostimulator electrode was implanted in the subthalamic nucleus with the use of intraoperative microelectrode recording of this first single array; with insertion of the neurostimulator pulse generator with connection of the single implated electrode array.

Answer 1

CPT code - 61863

Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode recording; first array.

HCPCS code - L8685

Implantable neurostimulator pulse generator, single array, rechargeable, includes extension