Medicare Claims Processing Manual (Pub. 100-04), Ch. 32 § 40.2.1
Healthcare Common Procedural Coding System (HCPCS)
40.2.1 – Healthcare Common Procedural Coding System (HCPCS)
(Rev. 11789, Issued:01-19-23, Effective Date: 02-21-23, Implementation Date: 02-21-23)
64561 - Percutaneous implantation of neurostimulator electrodes; sacral
nerve (transforaminal placement)
64581 - Incision for implantation of neurostimulator electrodes; sacral nerve
(transforaminal placement)
64585 - Revision or removal of peripheral neurostimulator electrodes
64590 - Incision and subcutaneous placement of peripheral
neurostimulator pulse generator or receiver, direct or inductive
coupling
64595 - Revision or removal of peripheral neurostimulator pulse generator
or receiver
A4290 - Sacral nerve stimulation test lead, each
C1767 - Generator, neurostimulator (implantable)
C1778 - Lead, neurostimulator (implantable)
C1820 - Generator, neurostimulator (implantable), with rechargeable
battery and charging system - effective 01/01/20 for NCD230.18 with
CR11655
C1883 - Adaptor/extension, pacing lead or neurostimulator lead
(implantable)
C1897 - Lead, neurostimulator test kit (implantable)
E0752 - Implantable neurostimulator electrodes, each
E0756 - Implantable neurostimulator pulse generator
NOTE: The "C" codes listed above are only applicable when billing under the hospital
outpatient prospective payment system (OPPS). They should be reported in place of codes
A4290, E0752 and E0756.