![]() *This response is based on the best information available as of 12/19/19. Spinal cord stimulators, also known as dorsal column stimulators, deliver low voltage electrical stimulation to the dorsal columns of the spinal cord in order to block pain sensations. Spinal cord (dorsal column) stimulation (SCS) is a pain relief technique that delivers a low-voltage electrical current to the spinal cord to block the sensation of pain. This advice actually applies to spinal cord stimulator and vagus nerve stimulator battery replacement. T85.192A is a billable diagnosis code used to specify mech compl of implnt elec nstim of spinal cord lead, init. Other ICD-10-CM Codes Commonly Used for Similar. The primary diagnosis is the patient’s condition that warranted the neurostimulator. Synonyms: disorder of dorsal column stimulator, ICD List 2023-2024 Edition. You could also report Z45.49 (Encounter for adjustment and management of other implanted nervous system device) as a secondary diagnosis code but it would not be the primary diagnosis. It is expected that a battery will last only so long so replacing it is not considered a “complication” when replacement is needed. The following ICD-10-CM codes have been added as covered diagnoses to the Group 2 required secondary diagnosis codes: M47.21, M47.22, M47.23, M47. We recommend using the original diagnosis for why the deep brain stimulator was placed in the first place (e.g., Parkinson’s). I have gotten mixed responses previously whether or not to bill “mechanical complication” vs “encounter for adjustment”. ICD 10 code for Other mechanical complication of implanted electronic neurostimulator, generator. ![]() What would be the appropriate diagnosis code (ICD-10-CM) for “end of life battery” when we have to change the generator in a deep brain stimulator patient. For specific coding assistance with your facility, please contact your local health economic manager.
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