CPT® Code 63610

1. Indications

The procedure described by CPT® Code 63610 is indicated for patients experiencing conditions that may benefit from spinal cord stimulation. These indications include:

• Chronic Pain Patients suffering from chronic pain conditions that have not responded to conservative treatments may be candidates for spinal cord stimulation to help manage their pain.
• Spinal Cord Injury Individuals with spinal cord injuries may undergo this procedure to stimulate nerve regeneration and potentially reverse damage.
• Neuropathic Pain Patients experiencing neuropathic pain, which is pain caused by nerve damage, may find relief through spinal cord stimulation.

2. Procedure

The procedure for CPT® Code 63610 involves several critical steps to ensure accurate placement of electrodes and effective stimulation of the spinal cord. The steps are as follows:

• Preoperative Imaging Prior to the procedure, advanced imaging techniques such as CT or MRI scans are performed to create detailed 3-D images of the spinal anatomy. These images are essential for identifying the specific location of spinal cord abnormalities and planning the surgical approach.
• Incision and Access A small incision is made over the targeted area of the spine. This minimally invasive approach allows the surgeon to access the spinal cord while minimizing tissue damage and recovery time.
• Electrode Placement Using a surgical navigation system, the surgeon carefully navigates specialized instruments towards the identified abnormality, guided by the 3-D images. Electrodes are then strategically placed at the selected site on the spinal cord.
• Stimulation and Recording Once the electrodes are in place, electrical impulses are generated to stimulate the spinal cord. The surgeon may obtain recordings as needed to assess the effectiveness of the stimulation and ensure optimal placement of the electrodes.

3. Post-Procedure

After the completion of the procedure, patients are typically monitored for any immediate complications. Post-procedure care may include pain management and instructions for activity restrictions to promote healing. Patients may be advised to avoid strenuous activities for a specified period to ensure proper recovery. Follow-up appointments are essential to evaluate the effectiveness of the spinal cord stimulation and to make any necessary adjustments to the stimulation settings. The overall recovery process may vary depending on individual patient factors and the specific circumstances surrounding the procedure.