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The procedure described by CPT® Code 64570 involves the removal of a cranial nerve neurostimulator electrode array and its associated pulse generator. A neurostimulator is a device that delivers electrical impulses to specific nerves to modulate their activity, which can be beneficial in managing various medical conditions. The vagus nerve is one of the most commonly targeted cranial nerves for stimulation, particularly in the treatment of epilepsy, where it helps to control and reduce the frequency of seizures. The removal process entails careful dissection to expose the electrode array and pulse generator, ensuring that surrounding tissues are preserved as much as possible. This procedure is critical when the neurostimulator is no longer functioning properly or when a patient requires a revision or replacement of the device. The removal must be performed with precision to avoid damage to the nerve and surrounding structures, and it typically involves closing the incisions in layers to promote proper healing post-operation.
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The procedure associated with CPT® Code 64570 is indicated for the removal of a cranial nerve neurostimulator electrode array and pulse generator. This may be necessary in the following situations:
The procedure for CPT® Code 64570 involves several critical steps to ensure the safe and effective removal of the neurostimulator components.
After the procedure associated with CPT® Code 64570, patients may require monitoring for any immediate complications related to the surgery. Post-operative care typically includes pain management and instructions for wound care to ensure proper healing. Patients should be advised to watch for signs of infection, such as increased redness, swelling, or discharge from the incision site. Follow-up appointments may be necessary to assess the surgical site and ensure that the patient is recovering appropriately. Additionally, any further treatment options or adjustments to the patient's care plan should be discussed during these follow-up visits.
| Short Descr | REMOVE VAGUS N ELTRD | Medium Descr | REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO | Long Descr | Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 1 - Team surgeons could be paid, though... | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | T-Packaged Codes | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 9 - Other OR therapeutic nervous system procedures |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | ET | Emergency services | GC | This service has been performed in part by a resident under the direction of a teaching physician | GZ | Item or service expected to be denied as not reasonable and necessary | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2018-01-01 | Changed | AMA guidelines changed. |
| 2013-01-01 | Changed | Medium Descriptor changed. Guideline information changed. |
| 2011-01-01 | Added | Added |
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