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CPT 0785T: Revision or Removal of Spinal Electrode Array with Integrated Neurostimulator
CPT code 0785T covers the surgical revision or removal of an electrode array with an integrated neurostimulator for the spine. This procedure is clinically significant because it addresses complications, device malposition, lead migration, infection, or device failure that require invasive correction or explantation. Nationally, episodes involving implantable neurostimulation systems have implications for specialty surgical practice patterns, post‑operative care pathways, and device lifecycle management.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for 0785T, typical sites of service, and the types of services captured by the code. The publication outlines payer coverage patterns, common claim modifiers used with the procedure (list provided), and benchmarking where available. It also summarizes policy considerations relevant to hospitals and ambulatory surgery centers that perform spinal neurostimulator revisions or removals.
The content provides operationally relevant information for coding, billing, and clinical teams: what the code represents, where the procedure is typically performed, and which payers commonly adjudicate these services. Data not available in the input will be identified as such in the detailed sections.
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Billing Code Overview
CPT code 0785T describes the revision or removal of an electrode array with an integrated neurostimulator for the spine. This procedure involves surgical revision or explantation of a spinal neurostimulation system in which the electrode array and the integrated neurostimulator are revised, repositioned, exchanged, or removed.
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Service type: Surgical revision or removal of implanted spinal neurostimulation hardware
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Typical site of service: Inpatient or outpatient hospital operating room, ambulatory surgery center