Question

I need help with the pcs codes for removal of bilateral thoracic column stimulator generators

Answer 1

In reference to your question the entire ICD -9-CM¹ and ICD-10-CM¹ is made available to you which will be helpful to you for finding the ICD codes for any other related parts also. You will find your answer in the highlighted row of the table. Kindly once go through the reference tables given below.

ICD-10 Crosswalk | Procedure Codes for Spinal Cord Stimulation

This table provides this information for your convenience only. This guide is not meant to serve as legal or reimbursement advice. Contact your Medicare contractor or payers for interpretation of coverage, coding, and payment policies. Guidelines for use of ICD-10 codes are still evolving and may be updated, expanded, or further specified over time.

Chronic Pain Disorders

G90.523 Complex regional pain syndrome I of lower limb, bilateral:

G90.513 Complex regional pain syndrome I of upper limb, bilateral:

ICD-9-CM1	Description	ICD-10-CM2	Description
338.0	Central pain syndrome	G89.0	Central pain syndrome
338.29	Other chronic pain	G89.29	Other chronic pain
338.4	Chronic pain syndrome	G89.4	Chronic pain syndrome

Attention to Device

ICD-9-CM1	Description	ICD-10-CM2	Description
V53.022	Fitting and adjustment of neuropacemaker (brain, peripheral nerve, spinal cord)	Z45.42	Encounter for adjustment and management of neuropacemaker (brain)(peripheral nerve)(spinal cord)

Reflex Sympathetic Dystrophy and Causalgia (Complex Regional Pain Syndrome I and II)

ICD-9-CM1	Description	ICD-10-CM2	Description
337.21	Reflex sympathetic dystrophy of the upper limb (CRPS type I of upper limb)	G90.511	Complex regional pain syndrome I of right upper limb
		G90.512	Complex regional pain syndrome I of left upper limb
		G90.513	Complex regional pain syndrome I of upper limb, bilateral
		G90.519	Complex regional pain syndrome I of upper limb, unspecified
337.22	Reflex sympathetic dystrophy of the lower limb (CRPS type I of lower limb)	G90.521	Complex regional pain syndrome I of right lower limb
		G90.522	Complex regional pain syndrome I of left lower limb
		G90.523	Complex regional pain syndrome I of lower limb, bilateral
		G90.529	Complex regional pain syndrome I of lower limb, unspecified
354.4	Causalgia of upper limb (CRPS type II of upper limb)	G56.40	Causalgia of upper limb, unspecified
		G56.41	Causalgia of right upper limb
		G56.42	Causalgia of left upper limb
354.4	Causalgia of upper limb (CRPS type II of upper limb)	G57.70	Causalgia of lower limb, unspecified
		G57.71	Causalgia of right lower limb
		G57.72	Causalgia of left lower limb

Underlying Causes of Chronic Pain

ICD-9-CM1	Description	ICD-10-CM2	Description
322.2	Arachnoiditis, chronic	G03.1	Chronic meningitis
322.9	Arachnoiditis, other and unspecified	G03.9	Meningitis, unspecified
349.2	Epidural fibrosis	G96.12	Meningeal adhesions, spinal, cerebral
354.9	Peripheral neuropathy of the upper limb	G56.90	Unspecified mononeuropathies of unspecified upper limb
		G56.91	Unspecified mononeuropathies of right upper limb
		G56.92	Unspecified mononeuropathies of left upper limb
355.8	Peripheral neuropathy of the lower limb	G57.90	Unspecified mononeuropathies of unspecified lower limb
		G57.91	Unspecified mononeuropathies of right lower limb
		G57.92	Unspecified mononeuropathies of left lower limb
722.10	Radiculitis due to herniated disc, lumbar	M51.16	Intervertebral disc disorders with radiculopathy, lumbar region
		M51.17	Intervertebral disc disorders with radiculopathy, lumbosacral
722.52	Radiculitis due to degenerative disc disease, lumbar	M51.16	Intervertebral disc disorders with radiculopathy, lumbar region
		M51.17	Intervertebral disc disorders with radiculopathy, lumbosacral
722.83	Postlaminectomy syndrome, lumbar region (failed back syndrome)	M96.1	Postlaminectomy syndrome, not elsewhere classified
723.4	Radicular syndrome of upper limbs (not due to disc herniation or degeneration)	M54.12	Radiculopathy, cervical region
		M54.13	Radiculopathy, cervicothoracic region
		M54.14	Radiculopathy, thoracic region
724.4	Radicular syndrome of lower limbs (not due to disc herniation or degeneration)	M54.15	Radiculopathy, thoracolumbar region
		M54.16	Radiculopathy, lumbar region

Lead Procedures⁴

ICD-9-CM1	Description	ICD-10-PCS3	Description
03.93	Implantation or replacement of spinal neurostimulator lead(s)	00HU0MZ5	Insertion of Neurostimulator Lead into Spinal Canal, Open Approach
		00HU3MZ5	Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach
		00HV0MZ5	Insertion of Neurostimulator Lead into Spinal Cord, Open Approach
		00HV3MZ5	Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Approach
03.94	Removal of spinal neurostimulator lead(s)	00PV0MZ5,6	Removal of Neurostimulator Lead from Spinal Cord, Open Approach
		00PV3MZ5,6	Removal of Neurostimulator Lead from Spinal Cord, Percutaneous Approach
		00PU0MZ5,6	Removal of Neurostimulator Lead from Spinal Canal, Open Approach
		00PU3MZ5,6	Removal of Neurostimulator Lead from Spinal Canal, Percutaneous Approach
03.997	Other operation on spinal cord and spinal canal structures	00WV0MZ5	Revision of Neurostimulator Lead into Spinal Canal, Open Approach
		00WU0MZ5	Revision of Neurostimulator Lead into Spinal Canal, Percutaneous Approach
		00WV3MZ5	Revision of Neurostimulator Lead into Spinal Cord, Open Approach
		00WU3MZ5	Revision of Neurostimulator Lead into Spinal Cord, Percutaneous Approach

Generator Procedures

ICD-9-CM1	Description	ICD-10-PCS3	Description
86.94	Insertion or replacement of single array neurostimulator pulse generator, not specified as rechargeable	0JH70BZ	Insertion of Single Array Generator into Back Subcutaneous Tissue and Fascia, Open Approach
		0JH80BZ	Insertion of Single Array Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
86.958	Insertion or replacement of multiple array neurostimulator pulse generator, not specified as rechargeable	0JH70DZ	Insertion of Multiple Array Generator into Back Subcutaneous Tissue and Fascia, Open Approach8
		0JH80DZ	Insertion of Multiple Array Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach8
86.97	Insertion or replacement of single array rechargeable neurostimulator pulse generator	0JH80CZ	Insertion of Single Array Rechargeable Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
		0JH70CZ	Insertion of Single Array Rechargeable Stimulator Generator into Back Subcutaneous Tissue and Fascia, Open Approach
86.983	Insertion or replacement of multiple array (two or more) rechargeable neurostimulator pulse generator	0JH70EZ	Insertion of Multiple Array Rechargeable Stimulator Generator into Back Subcutaneous Tissue and Fascia, Open Approach8
		0JH80EZ	Insertion of Multiple Array Rechargeable Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach8
86.05	Incision with removal of foreign body or device from skin and subcutaneous tissue	0JPT0MZ	Removal of Stimulator Generator in Trunk Subcutaneous Tissue and Fascia, Open Approach
		0JPT3MZ	Removal of Stimulator Generator in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
86.09	Other incision of skin and subcutaneous tissue	0JWT0MZ	Revision of Stimulator Generator in Trunk Subcutaneous Tissue and Fascia, Open Approach
		0JWT3MZ	Revision of Stimulator Generator in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
		0JWTXMZ10	Revision of Stimulator Generator in Trunk Subcutaneous Tissue and Fascia, External Approach

Thank you very much.