Spinal Cord Stimulation

Abstract

Spinal cord stimulation (SCS) is a treatment option for severe neuropathic pain not responsive to more conservative treatments. Common indications include FBSS, CRPS types 1 and 2, and painful radiculopathies. Other indications include but are not limited to painful peripheral vascular disease, post-herpetic neuralgia, and axial low back pain. Careful patient selection is paramount; contraindications include but are not limited to certain severe psychological comorbidities, active infection, and an inability to pause anticoagulants for the procedure. Prior to implantation of the impulse generator, the patient must first undergo a trial with a percutaneous or surgically placed lead and show at least a 50 % improvement in pain or functional status.

CPT

Implant or trial percutaneous SCS electrodes 63650

Implant IPG 63685

Revise or remove SCS electrodes 63660

Revise or remove IPG 63688