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CPT®
0283T

CPT® Code 0283T

Official Description

Percutaneous or open implantation of neurostimulator electrode array(s), subcutaneous (peripheral subcutaneous field stimulation), including imaging guidance, when performed, cervical, thoracic or lumbar; permanent, with implantation of a pulse generator

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 0283T involves the implantation of neurostimulator electrode arrays in a subcutaneous manner, specifically targeting peripheral subcutaneous field stimulation. This technique is utilized to alleviate pain in patients suffering from conditions affecting the cervical, thoracic, or lumbar regions of the spine. Unlike traditional spinal stimulation methods that focus on central stimulation along the spinal cord, peripheral subcutaneous field stimulation aims to deliver electrical impulses directly to the painful areas just beneath the skin. This approach is designed to provide localized pain relief by modulating the pain signals before they reach the central nervous system. The procedure can be performed either percutaneously or through an open surgical technique, depending on the specific needs of the patient and the clinical judgment of the physician. The implantation process includes the use of imaging guidance to ensure accurate placement of the electrode arrays, which are then connected to an implantable pulse generator (IPG) that delivers the electrical stimulation. This procedure is considered permanent, as it involves the implantation of both the electrode arrays and the pulse generator, which are intended to provide ongoing pain management for the patient.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 0283T is indicated for patients experiencing chronic pain conditions that are localized to the cervical, thoracic, or lumbar regions of the spine. The following conditions may warrant the use of this procedure:

  • Chronic Pain Syndromes Patients suffering from persistent pain that has not responded adequately to conservative treatments may benefit from this procedure.
  • Neuropathic Pain Conditions characterized by nerve-related pain, such as postherpetic neuralgia or diabetic neuropathy, may be suitable for peripheral subcutaneous field stimulation.
  • Failed Back Surgery Syndrome Individuals who continue to experience pain following spinal surgery may find relief through this intervention.

2. Procedure

The procedure for CPT® Code 0283T involves several detailed steps to ensure the successful implantation of the neurostimulator electrode arrays and the pulse generator:

  • Identification of Pain Area The first step involves identifying and marking the area of maximal pain on the patient's skin. This is crucial for targeting the correct location for electrode placement.
  • Electrode Array Placement The procedure can be performed either percutaneously or through an open approach. For percutaneous placement, an introducer needle is advanced into the subcutaneous tissue at the marked site, often with the assistance of imaging guidance. An electrode array is then threaded through the needle and positioned in the subcutaneous tissue. Fluoroscopic verification is performed to ensure correct positioning of the array.
  • Securing the Electrode Array Once the electrode array is correctly positioned, the introducer needle is removed, and the array is secured to the skin using sutures. In the case of open placement, a small incision is made over the marked area, and the electrode array is placed directly into the subcutaneous tissue before closing the incision.
  • Connection to Pulse Generator The electrode arrays are connected to an external pulse generator, which is tested and programmed to deliver the appropriate stimulation. The trial electrode array is typically left in place for a duration of 2 to 14 days to evaluate the patient's response to the treatment.
  • Permanent Implantation If the trial is successful and results in sufficient pain reduction, the patient is scheduled for the permanent implantation of the neurostimulator electrode arrays and the implantable pulse generator. This involves anchoring the permanent electrode arrays to the underlying tissues and tunneling the leads to the site of the implantable pulse generator. A subcutaneous pocket is created for the generator, and the leads are connected to it. The pulse generator is then tested, programmed, and secured in place before closing the pocket.

3. Post-Procedure

After the procedure, patients are typically monitored for any immediate complications and to ensure proper functioning of the implanted devices. Post-procedure care may include instructions on wound care, activity restrictions, and follow-up appointments to assess the effectiveness of the stimulation. Patients may experience some discomfort at the implantation site, which is generally manageable with prescribed pain relief. The effectiveness of the neurostimulator will be evaluated over time, and adjustments to the stimulation settings may be made as necessary to optimize pain relief.
Short Descr PERIPH FIELD STIMUL PERM
Medium Descr PERC/OPEN IMPLNT NEUROSTIM ELECTRODE SUBQ PERM
Long Descr Percutaneous or open implantation of neurostimulator electrode array(s), subcutaneous (peripheral subcutaneous field stimulation), including imaging guidance, when performed, cervical, thoracic or lumbar; permanent, with implantation of a pulse generator
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 1 - 150% payment adjustment for bilateral procedures applies.
Physician Supervisions 9 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Hospital Part B services paid through a comprehensive APC
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) T2D - Other tests - other
MUE Not applicable/unspecified.
CCS Clinical Classification 9 - Other OR therapeutic nervous system procedures
Date
Action
Notes
2017-01-01 Changed Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category.
2016-12-31 Deleted Code deleted.
2012-01-01 Added Added
Code
Description
Code
Description
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