CPT Code 63650: Percutaneous Implantation of Neurostimulator Electrode Array, Epidural

CPT code 63650 covers the percutaneous implantation of an epidural neurostimulator electrode array and includes image guidance, which should not be billed separately. The code applies to both trial and permanent lead placement, but the pulse generator must be billed using a separate code (e.g., CPT 63685). It has a 10-day global period, and accurate medical documentation must support whether the procedure was temporary or permanent.

CPT 63650 is used for percutaneous placement of spinal neurostimulator leads using a needle-based technique, typically for trial or permanent use. In contrast, CPT 63655 refers to lead implantation that requires a laminectomy, typically used for paddle leads requiring surgical exposure of the epidural space.

CPT 63650 is a procedure code that describes the percutaneous implantation of a spinal neurostimulator electrode array into the epidural space. It’s commonly used in spinal cord stimulation therapy to manage chronic pain, and applies to both temporary trials and permanent lead placements.