Health Information Management

Q&A: Report appropriate device codes when procedures are device-dependent

APCs Insider, May 16, 2008

We are negotiating to provide pain stimulator services. We will report code 63650 for the trial and codes 63685 and 63650 for the permanent. According to everything we have read from CMS, our claims will be processed per the hospital OPPS because it is a device-intensive procedure. Our vendor told us that we should include implants in our CPT code(s) and that we should not bill for them. According to the OPPS, we should bill them separately.

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