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InterStim Therapy FOR URINARY CONTROL AND BOWEL CONTROL IMPLANT BILLING WORKSHEET Patient Name: Date: Time: Location: Site of Service: Physician Name: Physician Signature: Payer: Procedure Type: PNE.

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64581 is the placement of the permanent electrodes-this is stage 1. 64590 is the placement of the neurostimulator pulse generator-this is stage 2.

Code 64581 should be reported when leads are placed using an open approach, ie, when the sacrum is surgically exposed for direct visualization. Either code 64561 or 64581 for placement of the lead may be reported in conjunction with code 64590 for placement of the neurostimulator pulse generator.

42.

64581 placements of the permanent electrode. 64590 placement of the neurostimulator pulse generator.

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.

Code 64561 is now described as including guidance and is percutaneous, and can be either temporary or permanent placement of electrode. Code 64581 is described as using an open approach, and it also can be temporary or permanent.

64581. OPEN IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY; SACRAL NERVE (TRANSFORAMINAL PLACEMENT)

Advanced Test (“Stage I”): CPT codes 64581 and 76000-26, Global period 90 days During the Advanced Test, the permanent tined-electrodes are placed percutaneously into the sacral foramen via surgical incision, generally under fluoroscopic guidance.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232