63685 Ins/rplc spinal npg/rcvr pocket
Also known as: spinal neurostimulation pulse generator implant, SCS device pocket creation, spinal receiver implant
Insertion or replacement of spinal neurostimulation device receiver/control unit in subcutaneous pocket. This procedure involves implanting the pulse generator for spinal cord stimulation.
In Plain Language
implant of spinal pain relief device control unit
Clinical Context
Used for implantation of the implantable pulse generator component of spinal cord stimulation systems, typically performed as part of SCS system implantation.
RVU Breakdown
| Work RVU | 5.06 |
| Total RVU | 5.06 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 5.06, this code ranks in the 34th percentile among Surgery codes — 1.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 63685?
CPT 63685 (Ins/rplc spinal npg/rcvr pocket) is a Surgery code. Insertion or replacement of spinal neurostimulation device receiver/control unit in subcutaneous pocket. This procedure involves implanting the pulse generator for spinal cord stimulation.
What is the wRVU value for CPT 63685?
The work RVU for CPT 63685 is 5.06. This code is primarily used by Neurosurgery, Pain Management. It has a 10-day global period.
When is CPT 63685 used?
Used for implantation of the implantable pulse generator component of spinal cord stimulation systems, typically performed as part of SCS system implantation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.