What is CPT 64581?

The code for placement of the permanent electrodes by incision is CPT Code 64581 (Incision for implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) and CPT 76000-26 (Fluoroscopy, up to one hour-professional component) for the imaging.

What does a sacral nerve stimulator do?

It delivers gentle electrical impulses through a probe (a thin wire) that is placed near the sacral nerve. The technology is similar to a pacemaker, but instead of regulating a person’s heartbeat, it stimulates the bowel, sphincter and bladder muscles to work normally.

What is a bladder InterStim?

InterStim Therapy is an FDA-approved treatment for overactive bladder and urinary retention. With InterStim Therapy, an implantable device sends mild electrical pulses to the sacral nerves to reduce symptoms of bladder control problems, so you can get back to living.

How often can you be billed for 64581?

64581 may be billed only once, unless there are extraordinary clinical circumstances requiring replacement of the leads. The medical necessity for the latter must be documented in the medical record. Patients who achieve at least a fifty percent (50%) reduction in their symptoms

Who is the insurer of AARP Medicare supplement?

UnitedHealthcare Insurance Company (UnitedHealthcare) is the exclusive insurer of AARP Medicare Supplement Insurance Plans and these are the only insurance plans of their kind endorsed by AARP*. AARP is an organization focused on serving the needs of Americans age 50 and over. AARP cares about people and serves them with compassion.

Which is better 64561 or 64581 for InterStim lead placement?

64561 is for the Interstim trial. The trial is only for a week or so. If it helps the patient and they want to proceed, then use 64581 for the permanent lead placement. Stage 1 is 64581 and 76000, 26. Stage 2 is 64590 and 95972 Thank you for your response!

Is the sacral nerve stimulation covered by Medicare?

Where there is a conflict between this document and Medicare source materials, the Medicare source materials will apply. Sacral nerve stimulation is covered for the treatment of urinary urge incontinence, urgency-frequency syndrome and urinary retention.