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Pain Neurostimulators – Can you bill implants separate on commercial cases?

Alright alright alright,

So far we have only had Medicare neurostimlator cases (63650×2, 63685) and recently we’ve been asked if we could do a Cigna. Now here’s my issue, are we able to bill implants separately with this commercial policy using the various HCPCS codes?

The reason for my confusion is because under the CPT notes this is listed:

Includes The following are components of a neurostimulator system:
Includes Collection of contacts of which four or more provide the electrical stimulation in the epidural space
Includes Complex and simple neurostimulators
Includes Contacts on a catheter-type lead (array)
Includes Extension
Includes External controller
Includes Implanted neurostimulator

However, I’ve seen an old thread where it was mentioned that they do bill separately and on the company’s website they list out the implant codes that can be billed to commercial policies. But how? Since it specifically states they are included. Am I missing something or misunderstanding?

Any help is appreciated! :)

Medical Billing and Coding Forum