HCPCS C1767: Generator, neurostimulator (implantable)

Gain a deeper understanding of how to properly use and bill for HCPCS code C1767 with our short guide.

Frequently asked questions

HCPCS code C1767 is for the non-rechargeable neurostimulator generator, while C1820 is for the generator with a rechargeable battery and charging system. Both codes are used to bill for the device itself.

The HCPCS code (C1767) is used to bill for the actual implantable device (the product cost), which in this case is the non-rechargeable generator. The CPT code (e.g., 63685) is used to bill for the surgical work and professional service of implanting the device. Both codes are necessary for proper reimbursement.

Implantable neurostimulators (like Spinal Cord Stimulators) are indicated for patients with intractable chronic pain in the back, arms, or legs, often due to conditions like Failed Back Surgery Syndrome (FBSS) or Complex Regional Pain Syndrome (CRPS), who have not responded to less invasive conservative treatments. Medicare has a National Coverage Determination (NCD) with specific coverage criteria, typically mandating that the stimulation is used as a "late resort" for patients who meet all other conditions.