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The procedure described by CPT® Code 64580 involves the open implantation of a neurostimulator electrode array specifically designed for neuromuscular stimulation. This complex surgical intervention is tailored to the specific neuromuscular site targeted for stimulation, which can vary based on the patient's condition and therapeutic goals. The process begins with the preparation of the planned insertion site, where the skin is incised to allow access to the underlying soft tissues. Following the incision, careful dissection of the soft tissues is performed to create a pathway for the electrode array. Once the appropriate location is identified, the electrode array is positioned to facilitate effective neuromuscular stimulation. After placement, the electrode is connected to a power source, and electrical stimulation is applied to evaluate the neuromuscular responses. This evaluation is critical, as it ensures that the electrode array is functioning correctly and eliciting the desired responses from the targeted neuromuscular structures. If necessary, the electrode array may be repositioned and retested multiple times to achieve optimal stimulation results. Once satisfactory responses are confirmed, the electrode array is secured in place and tunneled to the generator or receiver, which is implanted in a separate procedure that is reportable under a different CPT® code. Finally, the surgical site is meticulously closed in layers over the electrode array to promote healing and protect the implanted device.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure associated with CPT® Code 64580 is indicated for various conditions that require neuromuscular stimulation. The specific indications for this procedure include:
The procedure for the open implantation of a neurostimulator electrode array involves several critical steps, which are detailed as follows:
After the completion of the procedure, post-operative care is essential for ensuring proper recovery. Patients are typically monitored for any immediate complications related to the surgery. Pain management strategies may be implemented to address discomfort at the incision site. Patients are advised on activity restrictions to promote healing and prevent dislodgment of the electrode array. Follow-up appointments are necessary to assess the function of the neurostimulator and to make any necessary adjustments to the stimulation settings. Additionally, patients may receive instructions on how to care for the surgical site and recognize signs of infection or other complications that may require medical attention.
| Short Descr | OPN IMPLTJ NEA NEUROMUSCULAR | Medium Descr | OPEN IMPLANTATION NEA NEUROMUSCULAR | Long Descr | Open implantation of neurostimulator electrode array; neuromuscular | 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) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply 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 | ASC Payment Indicator | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 2 | CCS Clinical Classification | 9 - Other OR therapeutic nervous system procedures |
| 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). | 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. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2022-01-01 | Changed | Code description changed. |
| 2012-01-01 | Changed | Description Changed |
| Pre-1990 | Added | Code added. |
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